To Report or Not to Report? Mandatory Reporting and Duty to Warn for Case Managers

Mandatory Reporting

Mandatory reporting refers to case managers and other practitioners informing formal state authorities about their suspicions for potential child or adult abuse, neglect, and exploitation. That word “potential” is an important one as it is up to those formal state authorities and agencies to define the actions and not the case manager. I’ve had countless colleagues in leadership roles for these agencies remind me of that fact! 

As a Case Manager, Must I be Licensed in Every State that My Patients Are? My boss says NO, BUT….

The industry standard for professional case managers is that they should be licensed in every state where their patients are. However, case managers and other practitioners are chronically put in that ethical and legal “hot seat”, and asked to juggle employer mandates with professional requirements. The workforce is constantly set up for sanction by being told things like, “Case management is coaching” and does not involve assessment. The inaccuracies of this statement couldn’t be farther from the truth!

AMA Discharge and Case Management Responsibility

AMA Discharge and Case Management Responsibility: An Ethical and Compliance Quandary  

A patient is admitted to the hospital and the physician and treatment team recommendation is clear: the patient would benefit from being discharged to a skilled nursing facility (SNF). However, the patient adamantly refuses and only wishes to go home. Does the physician have the right to request that the patient leave the hospital against medical advice or AMA?

The Ethical Conundrum of Healthcare Ethics Committees

The Ethical Conundrum of Healthcare Ethics Committees – Ethics committees have been a condition of Joint Commission accreditation since 1992, yet there is massive variation in their implementation and use. They should not replace the dialogues of interprofessional team members with patients, families, or each other.

Seeking Social Media Recommendations: The Ethical Quandary for Case Management

Case managers and other healthcare professional who are Seeking Social Media Recommendations, become an Ethical Quandary for Case Management as they commonly ping “friends” or tag “connections” for resource info from treatment and provider recommendations to specific home health agencies and skilled nursing homes. Complex patient circumstances become group chats. After all, there’s no harm in seeking consultation or recommendations, right? Read how unintentional posts become ethical and legal missteps, and how to best manage them.