title: Community-based case management for positive outcomes.
abstract: After identifying high risk patients or high users of costly services, a rural community hospital implemented a community-based case management program that yielded positive results not only in cost containment but also in client-focused outcomes. The implementation of the program is described, as are the results of the outcomes measures affecting cognition, activities of daily living, instrumental activities of daily living, and nutritional risk. Additionally, use of health care resources and associated cost-savings data are discussed.
authors.affiliation: Margaret R.Pardee Memorial Hospital, Hendersonville, NC, USA.
authors.forename: B J
authors.initials: BJ
authors.lastname: Hammer
mesh_terms: D000203:Activities of Daily Living; D000359:Aftercare / Q000458:organization & administration*; D000368:Aged; D019090:Case Management / Q000458:organization & administration*; D003072:Cognition Disorders / Q000451:nursing / Q000523:psychology; D003152:Community Health Nursing / Q000458:organization & administration*; D003363:Cost Control; D017046:Cost Savings; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000458:organization & administration*; D006302:Health Services Research; D006764:Hospitals, Community; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D009720:Nurse Clinicians / Q000458:organization & administration*; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care; D010359:Patient Readmission / Q000706:statistics & numerical data; D016730:Program Development; D015397:Program Evaluation; D019035:Rural Health Services / Q000458:organization & administration*