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Monday, January 28, 2013
  Clinical Accuracy Spoken Here  

Advocacy: A Role Function and
Performance Indicator of CM

Advocacy is both a primary CM role function and a performance indicator. Case managers advocate for patients who are striving to cope with complex medical needs, psycho-social crises, and life transitions which require direct collaboration with health care providers and diverse community resources.

Hospital case managers (HCM) identify at-risk persons, helping these individuals and their caregivers take an active role in attaining or maintaining health. These patients need the ongoing education, facilitation, advocacy, and coordination characteristic of care management.

[Reference: Patient Advocacy, Module A, Advocacy and CM]
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  Excellence in Case Mgmt  

Advocacy: CM Stresses Access
and Use of Resources

A Clinical Case Manager coordinates and monitors inpatient care, pre-admission care, and post care via clinical pathways/practice guidelines:

  • Assesses patient's needs
  • Monitors clinical paths
  • Coordinates care
  • Performs the discharge planning function
  • Assesses and arranges discharge needs

In the Quality and Utilization Management/Discharge Planner (DCP) concept, the HCM combines UM and care coordination with DCP, but stress is placed on both access and appropriate use of available resources.

[Reference: Patient Advocacy, Module C, Key Components to CM Success]
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  Improving Patient Care...  

Advocacy: Rapid Case Finding
to Optimize CM

Care management for acute inpatients spans the time from the case manager's first contact with the patient until the patient leaves the facility, but not all patients require care management services. For care management to work optimally, it should be operational within 24 hours of the patient's admission, so efficiency and effectiveness of the care management system depend greatly on the clarity and precision of the hospital's case finding policy.

[Reference: Patient Advocacy, Module A, Advocacy and CM]
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Tom RasmussenTom Rasmussen
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