2013 Healthcare Benchmarks: Case Management - Product Image

2013 Healthcare Benchmarks: Case Management

  • ID: 2595408
  • Report
  • Region: North America
  • 78 Pages
  • Healthcare Intelligence Network
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Care coordination by healthcare case managers is helping to drive clinical and financial outcomes in population health management and bolster emerging models of care such as the patient-centered medical home and the accountable care organization.

2013 Healthcare Benchmarks: Case Management provides actionable information from 118 healthcare organizations on the prominence, placement and responsibilities of case managers as well as case management-driven outcomes in healthcare utilization, cost and compliance.

This fourth annual analysis of healthcare case management trends delivers 78 pages of newly collected metrics and measures on current and planned case management initiatives, presented in more than 60 easy-to-follow graphs and tables.

This all-new data is derived from responses to the fourth annual Healthcare Intelligence Network Case Management Survey conducted in May 2013.

New in the 2013 Edition: This all-new report, now in its fourth year, contains the following new data:

- Comparative 2010-to-2013 data on key case management activities;
- Workers' compensation as target for case management;
- Resource allocation and effectiveness of case management for Alzheimer's, dementia and trauma patients;
- The top challenges and benefits of embedded case management;
- Improvements and innovations resulting from embedded case management in respondents' own words;
- Priority of long-term care planning for case managers;
- Emerging case management certification requirements;
- Poll results: Should CMS recognize case managers as billing providers?

2013 Healthcare Benchmarks: Case Management also documents in respondents' own words their most successful case management interventions, tools and workflows as well as anticipated program launches.

This report provides all-new expanded data by overall respondents as well as managed care, health plan- and hospital-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 May 2013 Healthcare Case Management survey tool and much more.

This industry snapshot is enhanced with commentary from thought leaders in healthcare case management who have shared details on case management programs over the last year.

Healthcare organizations will benefit from a review of these performance and utilization metrics to evaluate, plan and retool case management programs.

The 78-page 2013 Healthcare Benchmarks: Case Management is part of the HIN Healthcare Benchmarking series, which provides continuous qualitative data on industry trends to empower healthcare companies to assess strengths, weaknesses and opportunities to improve by comparing organizational performance to reported metrics.
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About the Healthcare Intelligence Network
Executive Summary
Survey Highlights

Key Findings

Program Components

Results and ROI

Improvements and Innovations from Embedded CM

Methodology

Respondent Demographics

Using This Report

Responses by Sector
The Health Plan Perspective
The Hospital Perspective

Year-Over-Year Survey Data

Respondents in Their Own Words
Improvements and Innovations from Embedded CM
Tools, Protocols, Work Flows and Interventions
Most Important Factor of Successful CM
Most Important Contribution of the Case Manager
Additional Comments

Conclusion

Responses to Questions

Figure 1: All - Utilize Case Managers
Figure 2: All - Future Plans to Add Case Managers
Figure 3: All - Targeted Populations
Figure 4: All - Targeted Conditions
Figure 5: All - Diagnosis Most Responsive to CM
Figure 6: All - Identification Methods for CM
Figure 7: All - Embedded Case Managers
Figure 8: All - Future Plans to Embed Case Managers
Figure 9: All - Embedded CM Locations
Figure 10: All - Challenges of Embedding Case Managers
Figure 11: All - Advantages of Embedding Case Managers
Figure 12: All - Case Manager Duties
Figure 13: All - Case Manager Responsibilities
Figure 14: All - Case Manager Caseload
Figure 15: All - Patient Interaction Methods
Figure 16: All - Case Manager Education Level
Figure 17: All - Required Certifications
Figure 18: All - Performance Evaluation Metrics
Figure 19: All - Program Impact
Figure 20: All - Program ROI
Figure 21: All - Poll: Should CMS Recognize Case Managers as Billing Providers?
Figure 22: All - Organization Type
Figure 23: Health Plan - Utilize Case Managers
Figure 24: Health Plan - Future Plans to Add Case Managers
Figure 25: Health Plan - Targeted Populations
Figure 26: Health Plan - Targeted Conditions
Figure 27: Health Plan - Diagnosis Most Responsive to CM
Figure 28: Health Plan - Identification Methods for CM
Figure 29: Health Plan - Embedded Case Managers
Figure 30: Health Plan - Future Plans to Embed Case Managers
Figure 31: Health Plan - Embedded CM Locations
Figure 32: Health Plan - Challenges of Embedding Case Managers
Figure 33: Health Plan - Advantages of Embedding Case Managers
Figure 34: Health Plan - Case Manager Duties
Figure 35: Health Plan - Case Manager Responsibilities
Figure 36: Health Plan - Case Manager Caseload
Figure 37: Health Plan - Patient Interaction Methods
Figure 38: Health Plan - Case Manager Education Level
Figure 39: Health Plan - Required Certifications
Figure 40: Health Plan - Performance Evaluation Metrics
Figure 41: Health Plan - Program Impact
Figure 42: Health Plan - Program ROI
Figure 43: Health Plan - Poll: Should CMS Recognize Case Managers as Billing Providers?
Figure 44: Hospital - Utilize Case Managers
Figure 45: Hospital - Future Plans to Add Case Managers
Figure 46: Hospital - Targeted Populations
Figure 47: Hospital - Targeted Conditions
Figure 48: Hospital - Diagnosis Most Responsive to CM
Figure 49: Hospital - Identification Methods for CM
Figure 50: Hospital - Embedded Case Managers
Figure 51: Hospital - Future Plans to Embed Case Managers
Figure 52: Hospital - Embedded CM Locations
Figure 53: Hospital - Challenges of Embedding Case Managers
Figure 54: Hospital - Advantages of Embedding Case Managers
Figure 55: Hospital - Case Manager Duties
Figure 56: Hospital - Case Manager Responsibilities
Figure 57: Hospital - Case Manager Caseload
Figure 58: Hospital - Patient Interaction Methods
Figure 59: Hospital - Case Manager Education Level
Figure 60: Hospital - Required Certifications
Figure 61: Hospital - Performance Evaluation Metrics
Figure 62: Hospital - Program Impact
Figure 63: Hospital - Program ROI
Figure 64: Hospital - Poll: Should CMS Recognize Case Managers as Billing Providers?

Appendix A: Healthcare Case Management in 2013 Survey Tool

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