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Case Management Metrics: Charting Care Coordination Across the Continuum
Case Management Metrics: Charting Care Coordination Across the Continuum
Case Management Metrics: Charting Care Coordination Across the Continuum
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Case management has been identified as a key driver in value-based healthcare delivery as well as a cornerstone of accountable care. 2011 market research by the Healthcare Intelligence Network found that more than 90 percent of survey respondents are using case managers to help identify and manage high-risk patients and reduce avoidable utilization of services.

But exactly where along the healthcare continuum are case managers positioned, and where is their impact felt most acutely? Case Management Metrics: Charting Care Coordination Across the Continuum dives deep into several years of market research to identify case managers' influence and contributions in 10 key areas:

  • Patient Education & Outreach
  • Medication Adherence
  • Disease Management
  • Care Transitions Management
  • Home Visits
  • Health Risk Assessments
  • Reducing Avoidable ER Visits
  • Reducing Hospital Readmissions
  • Embedded Case Managers in Primary Care Practices
  • Patient Experience & Satisfaction

Download the executive summary of Case Management Metrics: Charting Care Coordination Across the Continuum.

The data dive reflected in Case Management Metrics: Charting Care Coordination Across the Continuum is based on responses from hundreds of healthcare organizations to 10 healthcare benchmark surveys between 2009 and 2011.

Sample Data from Case Management Metrics:
Case Managers and Medication Adherence

Through an analysis of market research from 2009 to the present, this 50-page resource graphs the industry's growing reliance on healthcare case managers and acknowledgement of their reputation for reducing risk. Metrics in this resource include the following:

  • Number of organizations whose case managers are the primary patient educators;
  • Percentage of case managers conducting post-discharge home visits;
  • Percentage of case managers embedded or colocated in physician practices and other points of care;
  • Case management implementation to reduce hospital readmissions and avoidable emergency room visits;
  • Frequency of case manager review of health risk assessment (HRA) results;
  • Contribution of case management to patient satisfaction and experience;
and much more. Supplemented with 24 graphs and tables.

Accompanying each actionable metric is a relevant best practice or case study from industry thought leaders at Aetna Medicare, Bon Secours Health System, Durham Community Health Network, Healthcare Partners Medical Group, Silverlink Communications, Summa Health System and others. These case management strategies and recommendations have been carefully curated to inspire innovation in case management.

Download the executive summary of Case Management Metrics: Charting Care Coordination Across the Continuum.

Table of Contents

  • Overview: Case Management in 2011
    • 2011 Survey Highlights
  • Metric 1: Patient Education and Outreach
    • 15 Steps to Improve Patient Education and Outreach
  • Metric 2: Medication Adherence
    • Making an Impact on Medication Adherence
  • Metric 3: Disease Management
    • Winning Disease Management Strategies for Healthcare Plans or Vendors
  • Metric 4: Managing Care Transitions Across Sites
    • Formulating Solutions to Care Transition Barriers
  • Metric 5: Home Visits
    • Why Home Visits?
  • Metric 6: Health Risk Assessments
    • Using HRAs to Identify Risk
    • 5 Domains of Patient Assessment for Case Selection
  • Metric 7: Reducing Avoidable Emergency Room Visits
    • Case Management Strategies for High-Utilization ED Patients
  • Metric 8: Reducing Hospital Readmissions
    • Tools to Boost Efficiency and Reduce Hospitalization Rates
  • Metric 9: Patient-Centered Medical Homes
    • Embedding Case Managers in a Primary Care Practice
  • Metric 10: Improving Patient Experience & Satisfaction
    • Patient Satisfaction and ED Case Management
    • Why Satisfaction is Critical for a Successful ACO
  • Glossary
  • For More Information
Publication Date: September 2011
Number of Pages: 50
ISBN 10: 1-937229-23-8 (Print version); 1-937229-24-6 (PDF version)
ISBN 13: 978-1-937229-23-8 (Print version); 978-1-937229-24-5 (PDF version)
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