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Post-reform
redesign of clinical care delivery and supporting reimbursement models
reflects the healthcare case manager's dual roles as care coordinator
and utilization manager. Case manager work locations, job focus and
caseloads are evolving in response to these shifts in the healthcare
landscape.
2011
Benchmarks in Healthcare Case Management: Responsibilities,
Results & ROI provides actionable information from
201
healthcare organizations on the prominence, placement and
responsibilities of case managers as well as case management-driven
results in healthcare utilization, cost and compliance.
This second annual analysis of healthcare case management trends is a
40-page resource packed with metrics and measures on current and
planned case management initiatives, presented in more than 40
easy-to-follow graphs and tables. This data is derived from responses
to the second annual Healthcare Intelligence Network Case Management
Survey, which was conducted in January 2011.
New in the
2011 Edition: This all-new follow-up to the best-selling
2010 edition contains comparative 2010-over-2011 data on key
activities, including the latest ways case managers communicate with
the individuals whose care they manage; new metrics on case manager
case load; the top barometer of case management success; and much more.
These benchmarks also document the latest case management activity in
the areas of health coaching and discharge planning, and describe in
respondents' own words their most successful case management
interventions, partnerships and collaborations and planned program
expansions.
This report provides all-new expanded data by overall respondents as
well as hospital- and health plan-only views on:
- Current
and planned healthcare case management programs;
- Populations
and conditions targeted by case management efforts;
- The
top five responsibilities of the healthcare case manager;
- Work
locations and average case manager case loads;
- Tools
and strategies to identify patients most in need of case
management;
- Tactics
to evaluate a case manager's performance and program impact;
- Overcoming
barriers to case management and to the launching of programs
in this area;
- The
impact of healthcare case management on healthcare utilization,
member/patient satisfaction and ROI;
- The
complete January 2011 Healthcare Case Management survey tool;
and
much more.
This industry snapshot is enhanced with commentary from healthcare
organizations such Lutheran Health Plan, Sutter Health Sacramento
Sierra Region, CareOregon and others whose strategic positioning of
case managers has netted significant reductions in hospital
readmissions and ER visits and more effective management of complex
comorbid patients.
Healthcare organizations will benefit from a review of these
performance and utilization metrics to evaluate, plan and retool case
management programs.
Publication
Date: May 2011
Number
of Pages: 40
ISBN
10: 1-936186-76-4 (Print version); 1-936186-77-2 (PDF
version)
ISBN
13: 978-1-936186-76-1 (Print version); 978-1-936186-77-8
(PDF
version)
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