An introduction to case management.

Abstract

Health-care professionals are constantly being challenged to find innovative ways to maintain quality of care with diminishing resources. Case management has emerged as a viable method of identifying resources and using those resources efficiently while providing the appropriate levels of care. The American Nurses Association defines case management as health assessment and planning, procurement, delivery, coordination, and monitoring to ensure that the multiple needs of the client are met. Organizations that have implemented case management report significant decreases in length of stay and substantial cost savings. The components of a successful case management team include a System Design Team to initiate the process, a Steering Committee to move the process forward, a Case Manager to coordinate and advocate for those patients who fall outside standard protocols or guidelines (critical pathways), an Interdisciplinary Specialty Team to assist in developing critical pathways, identifying variances, and evaluating data and outcomes, and an information system that provides accurate and current information. The ¿team¿ in case management team cannot be emphasized enough--medical staff and health-care providers should be involved in and understand case management practices. Collaboration and cooperation are essential to ensure patient satisfaction, hospital marketability, and presentation of a positive image to the community.