Demonstrate effectiveness of your CM program.
In evaluating the performance of your case management department, go beyond broad measures such as length of stay and costs or charges per case, experts recommend. Evaluate pathways in particular in terms of other factors, such as complications, clinical outcomes, patient satisfaction, and hospital readmissions. Remember as well that your idea of a successful case management program may differ from that of a hospital administrator. So, in addition to looking at standard clinical and financial outcomes measures, it's important to consider such things as whether case management has helped the hospital increase market share or identify potential business opportunities. Managed care organizations have their own expectations as well. They tend to evaluate programs along disease-specific "product lines." If managed care case managers begin focusing more on your management of one particular disease or market, it may mean they've targeted it as an area of potential overutilization.
D019985:Benchmarking / Q000191:economics*; D019090:Case Management / Q000191:economics* / Q000592:standards; D019091:Critical Pathways; D004465:Economic Competition; D006748:Hospital Departments / Q000191:economics* / Q000592:standards; D006801:Humans; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration; D017749:Total Quality Management; D014481:United States; D014600:Utilization Review