The evolution of case management. One organization's experience.
The case management program at Stanford Health Services has evolved over the past 5 years in response to the changing managed care marketplace and institutional needs. The challenge for the program has been to meet rapidly changing needs of both internal and external customers: patients, physicians, staff, and payers. The program has evolved from an inpatient model integrating discharge planning and utilization review, to include ambulatory case management in the clinic setting, management of prepaid health enrollees in the community, and clinical pathways. This article will describe the evolution of case management at Stanford and individual program components that resulted in significant savings to the organization.
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Stanford Health Services, CA 94305, USA.
D002140:California; D019090:Case Management / Q000458:organization & administration*; D019091:Critical Pathways / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D009937:Organizational Objectives; D017063:Outcome Assessment, Health Care; D016730:Program Development