7 Emerging Trends in Healthcare Case Management

Friday, May 6th, 2011
This post was written by Patricia Donovan

Not only are more healthcare organizations utilizing case managers, but the practice of embedding case managers at the point of care is intensifying, according to the second annual Healthcare Case Management survey conducted in January 2011. For example, the number of case managers working in hospital admissions offices nearly doubled from 2010 to 2011.

Additionally, the contemporary case manager’s job description is much more likely to include home visits, crisis management and quality improvement responsibilities in 2011 than it did in 2010.

Other trends identified in this survey support emerging models of integrated health delivery such as the patient-centered medical home and the accountable care organization (ACO):

  • The use of patient satisfaction as a key metric in evaluating case manager programs, followed by improvement in patients’ clinical status;

  • Uptick in embedded or co-located case managers, especially by hospitals in admitting areas;

  • Increased case management activity by hospitals;

  • More focus on case management of the Medicaid population;

  • More hands-on chart review to identify patients for case management;

  • Bigger case loads for case managers (twice as many at within the 150-199 and 200 to 249 ranges);

  • Slight drop in the targeting of diabetes by case management.

Despite the many value-based care delivery models being examined, the Triple Aim objectives outlined by the Institute for Healthcare Improvement (IHI) serve as a benchmark for accountable care. A carefully constructed case management program will also help organizations adhere to these standards:

  • Improve the health of the population;

  • Enhance the patient experience of care (including quality, access, and reliability); and

  • Reduce, or at least control, the per capita cost of care.

Get more details on 2011 Healthcare Case Management Trends.

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2 Responses to “7 Emerging Trends in Healthcare Case Management”

  1. Brad Hoover M.A. says:

    I’ve recently dsicovered HIN and have quickly made it a point to monitor e-mail updates due to their relevance.

    As a Medicaid in-home care case manager I can easily understand the value of embedding services early on, and widening the scope to include home, especially for family systems that need coaching to support condition recovery.

    I hope this expanding role for CM’s will include those of us with a Mental Health/Family systems training as well as those with a medical background.

    Brad Hoover M.A.

  2. Melanie Matthews says:

    Thanks Brad for your feedback. We are seeing more and more healthcare organizations make home visits a priority for those with chronic conditions to help evaluate the whole patient.

    What areas do you feel are critical when evaluating a patient for the first time in the home?