Moving from Case Management to Care Management



Moving from Case Management to Care Management
Moving from Case Management to
Care Management:
Helping Staff Make the Transition
Presented by:
Joan Kenerson King, Senior Integration Consultant
Joan Tammany, COMCARE, Wichita, Kansas
Rick Jewell, Aspen Pointe, Colorado Springs, CO
Participants will:
• Identify strategies for reaching out and
collaborating with primary care
• Describe approaches to care transitions
and how direct care staff can support this
• List components of an approach to
supporting health behavior change
Transformation of Behavioral
Whole Health
Integrated and coordinated
Primary care partnerships:
Inside and outside
Prevention and screening
Population health
Data driven care
Knowledge of mind/body
Increased Health Literacy
Care Coordination
Care Transitions
Organizational culture of
Health Behavior Change
Stage Wise Interventions
Motivational Interviewing
Person Centered Planning
Community Connections
Cultural Humility
Activated Hope
“…in essence integrated health care is the systematic
coordination of physical and behavioral health care.
The idea is that physical and behavioral health problems
often occur at the same time. Integrating services to treat
both will yield the best results and be the most acceptable
and effective approach for those being served.”
Connecting Body & Mind: A Resource Guide to
Integrated Health Care in Texas and the U.S.,
Hogg Foundation for Mental Health
Supporting Health
Behavior Change
Lifestyle 5X Health Care
Catching that 10%
Who are your partners?
How can you help?
Inside strategies
Outside strategies
Helping people you serve connect
Moving from hospital to
• Can you be a bridge?
• Never give up on making connections
with hospitals
• What to do with a discharge summary
• Value of warm handoffs and assertive
Supporting Health
Behavior Change
Lifestyle 5X Health Care
Stages of change:
Are you ready and active in every
area in your life that needs to
Who do you go to when you need
• Raise awareness
• Provide pamphlets
• Have posters and videos on health in waiting
areas and treatment offices
• Tailor psycho-education to readiness level
• Talk about health and wellness in terms of
• Identify health complaints as barriers to
hopes and dreams and share resources you
have to help
• Indicate readiness and wiliness to help
• General wellness groups
• Collaborative problem solving
• Find out what is currently going on and do
more of the positive with an action plan with
small steps
• Encourage support networks
• Be a cheerleader for success
• Find others who have the same goals
• Use community resources
• Best practice / challenge specific groups
• Health and wellness groups: smoking, weight
loss, exercise
• Collaborative problem solving
• Identify and reinforce any small action steps
in place and connect to action plan
• Encourage support networks
• Be a cheerleader for success
• Find others who have the same goals
• Use community resources
• Evidence based, best practice / challenge
specific groups (3-6-9 months) that combine
education and action
• Collaborative problem solving
• Look at the barriers, triggers
• Make changes to plan to match real life
• Identify rewards
• Encourage support networks
• Be a cheerleader for success
• Find others who have the same goals
• Use community resources
One organization’s story
Joan Tammany; Director of Quality, Risk
Management, Compliance and Innovation
• COMCARE of Sedgwick County
Wichita, Kansas
• Community Mental Health Center with 500
One Organization’s Story: Aspen
Point: CMHC and FQHC
Rick Jewell
Practice Transformation Manager
Aspen Pointe
Colorado Springs, CO 80905
Case to Care Management
Transforming traditional mental health case management
programs into assuming responsibility for the whole health of the
individuals they serve
o Topics:
• Conceptual framework for change: health homes, chronic care
• The physical health needs of people with behavioral health
• Diabetes and heart disease: key issues and key interventions
• Exercises in motivational interviewing for health behavior change
• Self-assessment of individual practice
Motivational Interviewing Opportunities with
the National Council
Motivational interviewing is based on four fundamental processes
of engaging, focusing, evoking, and planning - and provides a
framework for creating a dialogue about behavior change.
• Available consulting services
– Introduction (1-2 hours)
– Laying the groundwork: Strategies for behavioral change (48 hours)
– Building competency workshop (2 days)
– Motivational Interviewing proficiency – coaching & feedback
Register at
• For more information contact:
Joan Kenerson King, senior integration
consultant: [email protected]
Dawn Tenia, consulting manager:
[email protected]

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