PHOENIX MEDICAL MANAGEMENT, INC.

Since their inception, hospital case management programs are continuously evolving and today we are seeing the rapid transformation from the traditional functional models to outcome models.

In the Past, hospital case management practice was primarily defined by things to be done and those things were often based on chart review for:

• Utilization review
• Auditing charts to capture data on safety/Core Measures
• Auditing charts for documentation Improvement opportunities
• Identifying post acute placement plan

In addition, hospital case managers spent upwards of 45% of their time to locate, organize and coordinate post-acute services or placement. The remaining time was often spent attending meetings or performing clerical activities related to information system data entry.

Today, Case Management practice is defined by outcomes to be achieved on behalf of the hospital case managers' many constituents.  These outcomes can be measured to demonstrate success. 

• Appropriate level of care
• Facilitate progression-of-care
• Improve delivery of care processes
• Orchestrate team support for safety and quality
• Promote safe transitions-of-care
• Influence responsible use of resources
• Reduce risk, fragmentation and inefficiencies
• Pro-actively advocate for patients

The degree to which measurable goals are attained rather than the completion of tasks is the strategic intent of any venue of case management practice and it is the heart of successful hospital case management practice