Three Principal Goals for an ED Case Management Program

Monday, December 6th, 2010
This post was written by Melanie Matthews

Emergency department case managers serve three principal goals in a comprehensive case management program, says Toni Cesta, senior vice president of operational efficiency and capacity management at Lutheran Medical Center. ED case managers can make sure that the right patients are admitted to inpatient beds, assist in reducing readmissions and provide for alternatives to admission when appropriate.

By meeting all of these goals, ED case managers can have a bottom line impact on a hospital by ensuring that the hospital is appropriately reimbursed, Cesta added.

Cesta shared with participants in this month’s webinar Embedded Case Managers in the Emergency Department, how an ED case management program can reduce commercial admission denials, assure compliance for medical necessity, facilitate and initiate care and improve clinical documentation.

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