title: CMs coordinate care for frequent utilizers.
abstract: At the University of Michigan Health System, complex case managers coordinate inpatient and outpatient treatment and psychosocial services for patients who frequently visit the emergency department or are hospitalized. Patients in the program have complex medical needs, behavioral health issues, and/or lack of physical resources or social support. Complex case managers complete a comprehensive assessment of patient needs and work with practitioners to develop a treatment plan that the emergency department can use when patients present for treatment. Case managers follow the patients until they are stable, sometimes for a year or longer.
mesh_terms: D019090:Case Management / Q000458:organization & administration* / Q000592:standards; D002908:Chronic Disease; D015897:Comorbidity; D003266:Continuity of Patient Care / Q000458:organization & administration* / Q000592:standards; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000592:standards; D006300:Health Services Misuse / Q000517:prevention & control*; D006801:Humans; D028642:Persons with Psychiatric Disorders; D008824:Michigan; D019982:Organizational Case Studies; D010351:Patient Discharge; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D015397:Program Evaluation; D012959:Socioeconomic Factors