Trials and tribulations of year one: initiating cross-continuum care management in a community-based hospital.
To prepare to enter the Last Great Race, the Iditarod, you need a great team with experience, dedication, training, sponsorship, and the ability to work towards the desired goal. Planning a cross-continuum care management system is equally challenging. In this article, we present a real-life example of how a community-based hospital system has begun to integrate existing case management and care coordination efforts into a unified approach to care management. This scenario challenges organizations developing, refining, and evaluating care management efforts to think about what is being done, how, and why.