The Case Management Monitor is Here!

Friday, June 17th, 2011
This post was written by Cheryl Miller

Yes, it’s here – our inaugural Case Management Monitor. It’s HIN’s newest bi-weekly e-newsletter, dedicated to providing the latest news, tools and trends in the healthcare case management arena.

And it’s arrived not a moment too soon. The role of today’s healthcare case manager is constantly evolving, moving beyond the health plan office to co-location with primary care physicians, hospital discharge planners and long-term providers.

Not only are more healthcare organizations using case managers, but the practice of embedding them at the point of care is becoming the norm, as we saw in our second annual Healthcare Case Management survey, conducted in January 2011. In just the last year alone, the number of case managers working in hospital admissions offices nearly doubled. And embedding case managers in emergency departments is becoming a critical part of many hospitals’ case management programs, proving beneficial both clinically and financially. The embedded case manager can act as the first line of defense, determining medical necessity, and also helping to reduce patient visits and the number of claims denials for a hospital stay, says Toni Cesta, senior vice president of operational efficiency and capacity management at Lutheran Medical Center, whom we profiled in a recent podcast that is featured in our newsletter.

And the contemporary case manager’s job description has evolved: it is much more likely to include home visits, crisis management and quality improvement responsibilities in 2011 than it did in 2010. Today’s case manager often helps patients to understand what their treatment is and what their goals of care are. The case manager acts as a liaison between the patient, family, healthcare delivery team and community, enabling their clients to achieve their goals more effectively and efficiently. This includes everything from helping with insurance to medication adherence to home care follow ups, subjects we cover in our newsletter.

And the role of today’s patient is changing as well. With round the clock access to the web, on-line medical records, mobile applications and connected devices, there is a new kind of health delivery system in place — a system that gives patients far more information, and control than they’ve had in the past. What are the implications, risks and opportunities for case managers and case management organizations?

So, please take a moment to read the first Case Management Monitor, and don’t forget to subscribe to the second one, set to arrive in email boxes on June 21st. In the meantime, please provide us with feedback on our newsletter, and share with us any subjects you’d like us to address.

We also have a wealth of information on our Case Management Monitor web site: interviews, podcasts, white papers, videos, blogs, and much more. Again, any feedback on this site is also welcome.

Because interaction is key, isn’t it, to successful case management?

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