Case management: a formula for resource conservation.
Case management as a concept of efficiency and effectiveness has demonstrated its applicability in acute care. This article addresses one model of case management that integrates the traditional structure of independently functioning, nonrevenue-producing activities of quality, risk, and utilization management under the comprehensive umbrella of quality resource management. The model transformed existing full-time equivalent services at an acute care hospital in Florida into value-added services on behalf of patients, physicians, the hospital, and payers and presented a practical approach to organizing a case management program. Issues in the transformation process also are addressed.
Daniels
S
S
Phoenix Management Group, Pompano Beach, FL, USA.
Sands
J
J
D019090:Case Management / Q000458:organization & administration*; D003659:Decision Making, Organizational; D017598:Efficiency, Organizational; D005431:Florida; D006744:Hospital Bed Capacity, 100 to 299; D006764:Hospitals, Community / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D017146:Models, Organizational; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D012308:Risk Management / Q000458:organization & administration; D014481:United States; D014600:Utilization Review / Q000458:organization & administration