This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by returning experts Dr. Rebecca Severe and Dr. Sweta Singh, along with Kimberly Browne and Dr. John Eanes to share their insights on pediatric cases.
The conversation explores three complex pediatric cases that highlight the challenges of managing high-risk children with medical and behavioral complexities. The first case involves a four-year-old child with sickle cell disease and multiple comorbidities admitted with fever and respiratory symptoms, raising questions about inpatient versus observation status. The second case is a 16-year-old with a chronic liver condition who overdosed on Tylenol and faced extended hospitalization while awaiting inpatient psychiatric placement. The third case discusses systemic and logistical hurdles in coordinating care for medically fragile children across state lines, including insurance limitations, care transitions, and Medicaid complexities. The panelists reflect on the unpredictability of pediatric recovery, payer negotiations, and the importance of proactive communication with insurers.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field. APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
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