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2011 Benchmarks in Healthcare Case Management: Responsibilities, Results & ROI

Healthcare Intelligence Network, May 2011, Pages: 40


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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.


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