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Membership Continuing Education
Collaborative Case Management Issue 94

Publication Date: 12/10/2024


Abstract
This issue examines the intersection of maternal health, social justice, and health equity, with a particular focus on the systemic challenges faced by uninsured populations. It explores how lack of insurance compounds health inequities by limiting access to essential medical services, including prenatal and postpartum care, and highlights the ethical dilemmas faced by case managers in navigating these complex issues. By integrating perspectives from health policy, sociology, and ethics, the article underscores the need for comprehensive reforms to address these disparities, advocating for an inclusive health care system that prioritizes the needs of underserved communities. Ultimately, achieving health equity requires targeted efforts to dismantle the barriers that contribute to maternal health inequities, with a focus on policy changes, increased public awareness, and strategies that address the social determinants of health.


Learning Objectives

Transitions of Care 2.0
• Discuss the background of Transitions of Care.
• Define ACMA’s commitment to Transitions of Care.
• Identify revisions to Transitions of Care 2.0.


The Maternal Health Crisis: Maternal Mortality and Morbidity in Georgia
• Discuss the current state of maternal health in Georgia.
• Define concepts and describe key factors impacting women's health in Georgia.
• Identify strategies to improve health and address life-threatening medical and social issues within this population.


Strategies For Case Managers to Ease The Uninsured Struggle For Survival: A Social Justice View On Health Care Ethical And Professional Dilemmas
• Discuss Social Determinants of Health and how they influence or exacerbate health equity.
• Identify the most common ethical dilemmas faced by case managers.
• Apply strategies for how case managers can handle ethical dilemmas.


Speakers:
Rae-Anne Pinckney, LMSW, MPH | Manager of Community Benefit | Wellstar Health System

Rae-Anne Pinckney, LMSW, MPH serves as the Manager of Community Benefit for Wellstar Health System’s Center for Health Equity and Community Health. Rae-Anne is a licensed master social worker with a second master’s degree in public health. In her current role she oversees the management and delivery of community health programs, including fostering strong partnerships and operationalizing department goals aligned with WellStar’s Community Health Needs Assessment. She has spent her career serving diverse communities in medical care settings by assessing the psychosocial needs of renal and heart failure populations; notably recognized as a Hospital Hero by the Georgia Hospital Association for her hard work and dedication to serving patients.

Nico Nortjé, PhD, M.A. (Psych), MPhil, HEC-C | Executive Director for Clinical Ethics | University of Texas MD Anderson Cancer Center

Dr. Nico Nortjé holds a PhD in Applied Ethics and a master’s degree in psychology. He is the Executive Director for Clinical Ethics at the University of Texas MD Anderson Cancer Center. He also leads the Goal Concordant Care and End-of-Life teams and is an Associate Professor in the Department of Critical Care Medicine. He is passionate about the intersection of medical decision-making process and social determinants of health. As a virtue ethicist, Dr. Nortjé focuses on end-of-life ethics and helping patients and families make some of the most difficult decisions of their lives.

Anuradha Shunmugam Veluswamy MD, CMPC | Medical Director

Veluswamy is a dedicated Hospitalist Physician with nine years of experience in comprehensive inpatient care. As a board-certified physician, Dr. Veluswamy specializes in managing complex medical conditions, managing day-to-day care, and coordinating care with the specialists and the interdisciplinary team. As a Medical Director for Physician Advisors, Dr. Veluswamy serves as a liaison between Hospital leadership and clinical teams. She provides guidance on Utilization Management, Clinical Documentation Improvement, and compliance with health care regulations, contributing to measurable improvement in resource utilization and hospital efficiency. She also participates as a committee member for various improvement projects. Dr. Veluswamy advocates for patient-centered care, driving quality improvement initiatives, and mentoring emerging professionals. She holds a medical degree from P.D.U. Medical College, Rajkot, India, and completed residency in Internal Medicine at Montefiore Mount Vernon Hospital, New York. Additionally, she holds certification in CMPC, reflecting her commitment to professional development.

Marlene Bober, RN, MHA, ACM-RN

Marlene Bober received her Master of Science Degree in Healthcare Administration. She has completed the Project Management in Health Care Certificate Program at Harvard School of Public Health and holds the ACM Certification. She is the Senior Vice President of Practice Development at the American Case Management Association, responsible for influencing initiatives and services that define and impact the practice of Case Management, including Standards of Practice, conference content programming, certification services, ACMA’s Advanced Care Transitions Simulation (ACTS) training program and the Association of Physician Leadership in Care Management (APLCM). With over 20+ years of leadership experience in the health care industry, she is recognized for her expertise in Population Health, Nursing Operations, Quality and Care Management and Clinical Documentation Improvement.

Kathleen ‘Kathy’ Ferket, MSN, APRN-BC

Kathleen Ferket holds a Master of Science in Nursing from Rush University and is a certified nurse practitioner and leadership coach. She is an experienced and transformational nursing executive, speaker, author and a recognized leader in case management, clinical integration, value-based care and population health. Ferket consults with organizations across the care continuum to achieve value-based care outcomes and is currently a senior consultant with the American Case Management Association. She recently served as Care Continuum Vice President for a nine-hospital system in the Midwest where she led acute care management and alignment for post-acute services for the health system. Previous executive roles include hospital operations, service line leadership, clinical reliability and population health initiatives.

Keywords: healthy equity, maternal health, social justice, case management, health care ethics, social determinants of health, care transitions

Collaborative Case Management Issue 94

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SAVE THE DATE | ACMA 2025 National Conference

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Care Transitions Today Podcast

Our upcoming series, Case-of-the-Month, is co-presented by the American Case Management Association (ACMA) and the Association of Physician Leadership in Care Management (APLCM). In the Case of the Month series, we delve deep into real-world medical cases, sharing experiences, best practices, and innovative approaches to patient care. Each episode, our panel of experts brings you a new case study, offering a unique learning opportunity for health care professionals at all levels of experience. Learn more!

Karen Vanaskie Scholarship Fund

Karen Vanaskie was one of case management's brightest and most dedicated professionals. She was serving as Secretary / Treasurer on the ACMA National Board of Directors at the time of her unexpected passing on June 21, 2024.

At the request of Karen's family, ACMA has set up the Karen Vanaskie Scholarship Fund. Karen was passionate about the need for case management certification. She actively supported her staff in pursuing the Accredited Case Manager (ACM) Certification. To continue her legacy, this scholarship fund will cover the cost of their ACM certification application fee for those to whom it is awarded. We believe this continues Karen's legacy.

To apply for the scholarship, click here. For eligibility details, please see below.

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2024 National Survey Results are Live!

ACMA and APLCM are proud to announce the latest iterations of the National Case Management and Transitions of Care Survey and the Physician Leaders in Care Management Survey, which have been the only source of comprehensive data for the case management industry since 2001. This ongoing research incorporates over 20 years of data, offering invaluable insights into the evolving landscape of case management, transitions of care, and physician advising. Access the full reports through your ACMA and APLCM member portals!

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