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CM 560


Quality Improvement in Case Management

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Course Information

This is the fourth continuing education course in the case management program. This course focuses on the concepts/theories of quality improvement and its place in case management systems. Participants study in-depth the entire quality improvement process, including many tools used for data collection and analysis. The role of the case manager in the quality improvement process is defined and examined. There is focus on the integration of quality improvement initiatives with models and systems of case management. Participants learn methodologies for the full development, implementation and evaluation needed to improve health care delivery within case management systems. Team development and implementation of team work groups is also examined. This course then provides an in-depth learning experience of issues related to complimentary health care and its modalities. An examination of the most common types of complimentary health care modalities are examined. Issues related to insurance, reimbursements, outcomes management and research are also examined. Course Code : CM 560. Contact hours of education : 20 hours.

This course is particularly designed for those who would like to apply for Fellowship certification as a "Fellow" in the American Academy of Case Management.

BOARD APPROVALS: AIHCP is an approved provider of continuing education by the Florida Board of Nursing and the District of Columbia Board of Nursing. CE Provider # 50-11975. Access information

The American Institute of Health Care Professionals (The Provider) is approved by the California Board of Registered Nurses, Provider number # CEP 15595 for 20 Contact Hours.

This course, which is approved by the Florida State Board Of Nursing (CE Provider # 50-11975) also has the following Board of Nursing Approvals, for 20 contact hours of CE:

The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the Arkansas Board of Nursing. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the Georgia Board of Nursing. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the South Carolina Board of Nursing. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the West Virginia Board of Examiners for Professional Registered Nurses. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the New Mexico Board of Nursing. CE Provider # 50-11975.

Course Refund & AIHCP Policies: access here

Instructor/Course Author:  Dominick L. Flarey, Ph.D, MBA, RN,BC, CNAA, FACHE

Link to Resume

E-mail: info@aihcp.org

TIME FRAME: You are allotted two years from the date of enrollment, to complete all of the courses in this continuing education program (all five (5) courses). There are no set time-frames per course, other than the two year allotted time. If you do not complete the courses within the two-year time-frame, you will be removed from the course and an "incomplete" will be recorded for you in our records. Also, if you would like to complete the courses after this two-year expiration time, you would need to register and pay the course tuition fee again.


Advanced Case Management: Outcomes and Beyond. 1st edition. By: Suzanne K. Powell. Lippincott, Williams & Wilkins, 2000.

  • ISBN-10: 0781722349
  • ISBN-13: 978-0781722346

Link to Purchase on Amazon.com: click here

Instructor: Your instructor for this course is Dominick L. Flarey, Ph.D,MBA, RN,BC,CNAA, FACHE ,executive director of the American Academy of Case Management.. Access information

GRADING: You must achieve a passing score of at least 70% to complete this course and receive the 20 hours of awarded continuing education credit. There are no letter grades assigned. You will receive notice of your total % score. Those who score below the minimum of 70% will be contacted by the American Academy of Case Management and options for completing additional course work to achieve a passing score, will be presented.

Within 24-48 hours after submission of your completed examination for this course, you will receive from us an e-mail notification of your final score and more information about the shipping of your CEU certificate.

Blog of the American Academy of Case Management: Please be sure to visit our Blog. Participation is encouraged.

Fellowship Certification Information:

Once you have completed all of the five (5) courses in this education program, you are eligible for application and conferral of "Fellowship status and Certification" in the American Academy of Case Management. To access program information on Fellowship/Certification, click here.


Upon completion of this course, you will be able to:

1. Define and discuss the Continuous Quality Improvement process in health care.
2. Discuss Edward Deming and his theory of continuous quality improvement.
3. Discuss Juran's ten-step quality improvement process.
4. Define eight major tools used in CQI and discuss their purpose and functions.
5. Compare and contrast common causes and special causes of variances.
6. Understand the relationship between quality improvement projects and the PDCA cycle.
7. Discuss case management opportunities for improvements.
8. Define and discuss a model for establishing priority selections for CQI.
9. Compare and contrast multidisciplinary teams and cross-functional teams in case management.
10. Identify and discuss the stages of team building and development.
11. Discuss characteristics of effective teams
12. Discuss characteristics of effective team meetings
13. Define and discuss six (6) decision making techniques for process improvements.
14. Define how to conduct a root cause analysis.
15. Define complimentary medicine and health care.
16. Discuss theories related to traditional chinese medicine.
17. Define and discuss the tenets of homeopathy, mind-body medicine, naturopathy, and ayurvedic medicine.
18. Discuss seven (7) musculoskeletal therapies.
19. Define and discuss the use of bioenergy therapies.
20. Understand and discuss the integration of complimentary alternative health care modalities into traditional models of care delivery.
21. Define and discuss insurance issues related to complimentary alternative health care modalities.
22. Discuss several research issues related to complimentary alternative health care modalities.
23. Discuss the case management process as it relates to complimentary and alternative health care modalities.

Course content

1. Tools for process improvement
2. Techniques for continuous quality improvement
3. Statistical process control charts
4. Common causes and special causes
5. Interpretation and analysis of quality improvement data
6. The PDCA cycle and quality improvement projects
7. Case management opportunities for improvements
8. Target interventions for improvement initiatives
9. Multidisciplinary and cross-functional teams
10. Stages of team development
11. Team roles and responsibilities
12. Characteristics of effective teams
13. Decision making techniques for process improvements
14. Force field analysis
15. Root cause analysis
16. Managing complimentary health care
17. Traditional Chinese medicine
18. Ayurvedic medicine
19. Naturopathy
20. Homeopathy
21. Mind-body medicine
22. Psychotherapies
23. Musculoskeletal therapies
24. Bioenergy therapies
25. Clinical integration of complimentary health care
26. Insurance, reimbursements and complimentary health care
27. Research issues in complimentary health care
28. Implications for case managers in complimentary health care
29. Indications and contraindications for complimentary modalities
30. Outcomes measures for complimentary health care modalities
31. The case management process and complimentary health care
32. Case studies in complimentary care modalities

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