Hybrid Embedded RN Care Managers Target High-Cost, High-Utilization ‘VIPs’

When Sentara Medical Group determined its embedded RN care managers spent only 25 percent of their time on care management, it revamped its embedded model, explains Mary M. Morin, RN, NEA-BC, RN-BC, nurse executive with Sentara. In the new hybrid model, RN care managers support two to three practices and also visit high-cost, high-utilization patients at home, in the hospital and virtually.

At first, Sentara management balked at a perceived duplication of service between the RNs and home health nurses—until they saw the fruits of these patient encounters, which Ms. Morin describes in this audio interview. Home visits in particular allow RN care managers to assess the patient’s environment and meet the individual on their level, which lifts engagement in self-care, she notes.

Mary Morin will explain the motivation behind Sentara’s hybrid embedded case management model and the model’s impact on its highest risk population during a July 31, 2014 webinar, “A Hybrid Embedded Case Management Model: Sentara Medical Group’s Approach,” a 45-minute program sponsored by The Healthcare Intelligence Network.


Length: 8:28 minutes