Nursing / Social Work Supervisory Partnership in Care Management Presented By: Laura Bazhdari, LMSW Katie Bierlein, LMSW, MPH Martha Vargas, RN

Federally Qualified Health Center (FQHC) Mission: to improve access to high quality, patient-centered primary health care targeted to the needs of medically underserved communities.

IFH Philosophy We care for your whole family. We care for your whole body. We use the latest technology. We care about community health.

Making the Integrated Care Model Come to Life! A Perfect Partnership Making the Integrated Care Model Come to Life! RN/LMSW Group Supervision RN/Care Navigator Field Visits

Case Example 55 year old African-American Female Medical Diagnoses Diabetes, Hyperlipidemia, Peripheral Neuropathy, Essential Hypertension Mental Health Diagnoses Major Depressive Disorder Social Factors Financial problems, Housing Instability, Unemployment

Our Electronic Health Record Comprehensive Chart Review Dynamed

Social Workers & Nurses = Care Management Coordinators & Nurse Care Coordinators

American Nursing Association Similar Missions NASW Code of Ethics American Nursing Association “…to enhance human well-being and help meet the basic human needs of all people, with particular attention to the needs and empowerment of people who are vulnerable, oppressed, and living in poverty.” “…to advance our profession to improve health for all.”

Similar Values: Code of Ethics Comparison Social Work Nursing Human dignity: Social workers respect the inherent dignity and worth of the person. Social workers treat each person in a caring and respectful fashion, mindful of individual differences and cultural and ethnic diversity. Integrity: Social workers are continually aware of the profession’s mission, values, ethical principles, and ethical standards and practice in a manner consistent with them Social Justice: Social workers strive to ensure access to needed information, services, and resources; equality of opportunity; and meaningful participation in decision making for all people. Human Dignity: Unrestricted respect for the dignity, worth, and uniqueness of every individual. Integrity: Acting in accordance with an appropriate code of ethics and accepted standards of practice. Social Justice: A fair and equitable distribution of benefits and baring of burdens in a society.

Why It Works in Care Management Medical Social Behavioral

Clinical Impact Weekly Group Supervision Shared Savings Field Visits Referrals

Organizational Impact: Building Relationships Across Disciplines Primary Care Psychosocial

What’s Next? Integrate Nursing into Individual Supervision Inter-Disciplinary Training Staff Recruitment and Retention

Questions?

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