Medical Management Guide, 2009, Version 3.0 - Tricare

Medical Management GuideVersion 3.0Case ManagementPage 99The standards require that the case managerprovide services within the scope of practice definedby their community, licensure, and publishedpractice standards. Case managers are potentiallyliable if they do not follow these CM standards ofpractice. DoD and Service Branch-specific policiesand directives concerning the provision of healthcare also apply.Resources for Orienting and Trainingthe New Case ManagerWeb-based learning modules to assist in orientingand training newly hired staff are available at MHSLearn: https://mhslearn.csd.disa.mil. MHS-requiredCM training includes the following topic areas:1. Case Management2. TRICARE Fundamentals3. Military Medical Support Office4. Traumatic Brain Injury5. Post-Traumatic Stress Disorder6. Suicide Awareness7. Homicide Awareness8. Substance Abuse9. Clinical Decision Support Tools10. Introduction to the Veterans Administration11. Disability Evaluation System12. Federal Recovery Coordination Program13. Recovery Care CoordinatorsEach Service and MTF may offer its own requiredor optional training opportunities. For moreinformation, contact your Education and Trainingmanager.A “continuity binder” — also called a standardoperating procedure (SOP), orientation, or resourcemanual — specific to individualized CM role(s) canbe a useful tool. The binder may be in paper orelectronic form, and can help personnel coveringanother staff member’s position in his/her absenceunderstand the responsibilities of that staffmember’s position(s). The binder provides:• Descriptions of daily, weekly, and monthlyresponsibilities and related tasks.• A list of personnel in the organization and theircounterparts within the TMA region.• A hard copy of any forms or logs used, in case ofcomputer system failures.• A list of scheduled meetings.• Other relevant information.The continuity binder should be updated on aregular basis.In addition to possessing the basic educationalbackground for the position, it is also crucial for CMpersonnel to maintain practice competency.( CD-ROM Resource CM-39 provides a SampleCase Manager Core Competencies Form.)As part of the CM orientation process, casemanagers are required to complete and pass allrelevant MHS Learn modules prior to providingpatient care. It is also vital for personnel to havea basic knowledge of each position within theirdepartment, as MM roles are often interdependent.