Case management: an evaluation at Childrens Hospital Los Angeles.
This prospective, quantitative, and qualitative evaluation of the case management program at CHLA clearly demonstrated the value of professional service coordination of care for children with complex, special health needs. Most specifically, the program documented improvement in three discrete areas of evaluation: 1. Financial, with decreased unnecessary expenditures and increased revenue. 2. Patient satisfaction, documented with validated questionnaires. 3. Clinical process improvement, using quantifiable clinical outcomes. At the very least, case management is an extremely valuable service in the present managed health care environment, and may in fact be indispensable.
Barry
Tod L
TL
Continuum of Care, Case Management Department, Children's Hospital of Los Angeles, CA, USA.
Davis
David J
DJ
Meara
John G
JG
Halvorson
Mary
M
D019090:Case Management / Q000191:economics* / Q000592:standards; D002648:Child; D003695:Delivery of Health Care / Q000191:economics; D004471:Economics, Nursing / Q000706:statistics & numerical data; D005377:Financial Management, Hospital; D006773:Hospitals, Municipal / Q000191:economics* / Q000458:organization & administration / Q000592:standards*; D006776:Hospitals, Pediatric / Q000191:economics* / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D015141:Los Angeles; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D011446:Prospective Studies; D012456:Salaries and Fringe Benefits