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Is case management a worthwhile investment?
According to a recent study, there is the potential of a two-to-one return on investment with case management. In the Carnegie Mellon University led study, it was concluded that comprehensive, patient-centered case management reduced hospital admissions by 38 percent, hospital days by 36 percent and emergency room visits by 30 percent, thereby reducing overall costs by 26 percent.*
Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy. This includes providing options and services to meet an individual’s and caregiver’s specific health needs and to promote high quality cost effective outcomes. Our case management delivers on these services every day, whether individually or across a group in an Accountable Care Organization (ACO).
Active engagement and educational support
Engaging with patients and their caregivers, case managers provide educational support to families and identify resources to improve overall care. Covering a wide range of medical conditions, case management focuses on a patient’s specific needs from a clinical, financial and socioeconomic perspective.
The case management team includes:
- In-House Medical Director
- Multispecialty RN, Certified Case Managers (CCM)
- Registered Dietitians
- Licensed Medical Social Worker
Empowering active care
Empowering patients to become active participants in their healthcare, rather than passive recipients, the case management team utilizes current evidence-based practice guidelines and encourages patients to use reliable, consumer-friendly health education tools. With the means to make informed decisions about their health, patients can address modifying risk factors, potentially preventing serious consequences in the future.
The benefits of case management:
- Coordination of multiple health care providers
- Identification of potential financial support resources
- Optimization of health care resources
- Resolution of barriers or stressors that may inhibit recovery, return to employment and quality of life
- Coordination and support after permanent injuries that affect function of individual and/or entire family unit
- Investigation of alternate health care options resulting in the most appropriate quality and cost of care that promotes positive patient outcomes
- Referral to advanced illness counseling for patients with progressing disease such as Alzheimer’s, Lou Gehrig’s (ALS), end stage lung, heart, or renal disease, and cancer
The case management team relies on Standards of Practice for Case Management compiled by CMSA.
Individual may be enrolled in Case Management to meet acute care needs or through Accountable Care Solutions powered by inVentiv Medical Management™ where longer term complex care management is provided.
*Source: The American Journal of Managed Care