Case Management Assessment, Design & Implementation

“Assess and design continuum-based care management processes that integrate activities across traditional functions (UM, CM, Quality) and establish an infrastructure for implementing best practice models in daily clinical activities.

Regional Medical Center (Arkansas)

Conducted assessment of hospital case management system. Performed three major activities to complete the assessment: measured progress of Case Management department over past 5 years, assessed current departmental performance relative to benchmark standards from other organizations along three dimensions: structure, process and results; updated the case management vision and objectives, and developed an action plan. Provided revised strategic plan for case management, detailed workplan to achieve objectives, and target performance measures for next 5 years.

Community Hospital (New Jersey)

Project managers to analyze patient flow and length of stay, clinical protocols to prioritize patients and escalate issues, staff communication, and roles and responsibilities on nursing units to facilitate redesign of inpatient care management processes; coordinated multi-disciplinary teams, led process analysis and redesign effort, implemented process improvement initiatives, and tracked and analyzed data to assess impact of process changes. Project resulted in streamlined processes, improved communication among clinicians, and decreased Medicare LOS.

Regional Hospital System, (UT)

Designed care management processes across provider settings, implemented clinical practice improvement strategies, and conducted analyses to evaluate impact on performance. Evaluated community care management model and demonstrated cost-effectiveness of care managers in physician clinics: designed study, analyzed large datasets, summarized and reported findings.