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Case Management Impacts Quality and Financial Outcomes
The link between hospital profitability and case management programs shows that case management is a viable response that hospitals can use to improve their financial performance.
The key is providing data and outcomes to support the clinical and financial impact. Case Managers need to formulate hard data to back up any request for resources, such as looking at departmental staffing ratios, to determine if it is:
- Appropriate for their case management model
- In line with staffing ratios at similar hospitals with a similar model
The disciplines within case management must understand how what they do impacts both the quality and financial outcomes of their organization. By continuously building their own knowledge base and skills, every CM contributes not only to the success of their own organization but to the long-term financial sustainability of the healthcare delivery system.
As the healthcare landscape continues to change, the value of case management in the acute care setting continues to grow in stature. Bottom line for Case Managers is - you do make a difference!
As these changes unfold, Case Managers are now regarded as integral members of the move to value based care delivery. Healthcare providers and administrators, patients and families, support systems, policy makers, and others understand the role of professional Case Managers as:
- Advocates for patients
- Stewards of scarce and costly resources
[Revenue Cycle, Module B, Revenue Cycle Teams]
Case Managers Engage Diverse Populations
Case Manager's Engage People Across Socioeconomic Status
"Case managers are experts in engaging and establishing rapport with a diverse range of patient populations. This competence includes the ability to be empathic toward the humancondition, especially those who may feel marginalized and without access to adequate health care."
Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP
Director of Social Work Education
Athena Forum Institute®
Social determinants exert a compelling influence on health outcomes. There are also socioeconomic components, including the impact of:
- Substandard preventive care
- Inadequate or nonexistent health insurance coverage
- Low health literacy
Social determinants brought about by social and economic disparities in U.S. health are long standing and health disparities have been widening.
[Heart Failure, Module A, Prevalence and Pathophysiology]