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Analysis

End-of-Life Care Strategies

By Revenue Cycle Advisor  
   September 30, 2020

Care should be taken to ensure a plan is in place to support the patient's emotional needs during this health journey.

A version of this article was first published September 30, 2020, by HCPro's Revenue Cycle Advisor, a sibling publication to HealthLeaders.

Q: When providing end-of-life care, what are some of the key strategies for case managers to consider?

A: One strategy that can help guide these end-of-life decisions involves using what Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, of EFS Supervision Strategies LLC in Burke, Virginia calls the 4 C's. The four C’s refer to the main areas where case managers will need to put their focus to ensure the best outcomes for all involved.

The four C’s are as follows:

  • Capacity. To ensure capacity, the case manager should be able to determine whether the patient and others who are involved understand and are capable of making all needed plans and care decisions.
  • Competence. Case managers should ascertain that the patient is mentally sound to make necessary decisions regarding end-of-life care. Keep in mind that an individual’s competence is established according to legal standards and the court, not by medical or behavioral health professionals, says Fink-Samnick.
  • Coping. Care should be taken to ensure a plan is in place to support the patient’s emotional needs during this health journey.
  • Choice. The case managers should ensure that the patient and family members are given clear choices regarding all elements of the process, including care, planning, and any potential alternatives.

 For more information on this topic, please see June's issue of Case Management Monthly.

Revenue Cycle Advisor combines all of HCPro's Medicare regulatory and reimbursement resources into one handy and easy-to-access portal. News is not just repeated from other sources. It is analyzed by our Medicare experts so professionals can comprehend any new rule and regulatory updates thoroughly. Learn more.


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