Tips from our featured course
Case Managers Align Resources with Population Needs
One of the "Six Functions of Care Coordination" involves a system-level assessment of the needs of populations to identify and address gaps in services. Aggregating the needs assessments of individual patients is one method that should be used to identify the population's needs.
Care coordination and feedback from providers and patients should also be used to identify opportunities for improvement. Examples of such population health coordination might be:
- Identifying clusters of patients who smoke
- Offering smoking cessation programs in those neighborhoods
- Identifying long wait times for specific subspecialty consultations
- Designing electronic referral systems that reduce referral delays
[Population Health, Module C, Transitions of Care]
Impacting the Bottom Line
At one time case management was considered an expense item with a goal of cost containment. Now, case management with its multiple disciplines is a major component in achieving positive revenues.
Case Managers are in a unique position to support the revenue cycle and bridge the gap between the hospital finance and clinical departments through the Case Management practice standards including:
- Patient advocacy
- Providing resource stewardship
- Acting as a liaison among patients, payers and the healthcare team
[Case Manager Express, Module B, Improving Claims]