Case Management Essay

967 words - 4 pages

Case Management
Case management has become the standard method of managing health care delivery systems today. In recent decades, case management has become widespread throughout healthcare areas, professionals, and models in the United States; and it has been extended to a wide range of clients (Park & Huber, 2009). The primary goal of case management is to deliver quality care to patients in the most cost effective approach by managing human and material resources. The focus of this paper is on the concept of case management and how it developed historically, the definition of case management, the components of case management, and how it relates to other nursing care delivery models.
History of Case Management
The concept of Case management has was first introduced in the 1970’s by insurance companies as a way to monitor and control costly health insurance claims, commonly created by a catastrophic accident or illness (Jacob & Cherry, 2007). Today almost every major health care organization has a case management program managing and directing the use of health care services for their clients. Also, case management by payer organizations is recognized as external case management.
Hospitals recognized the need for the case management model in the mid 1980’s to manage the lengths of stay of hospitalized patients and the treatment plans (Jacob & Cherry, 2007). In 1983, the Medicare prospective payment program was implemented which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob & Cherry, 2007). To keep the costs below the diagnosis related payment, hospitals had to efficiently manage the treatment provided to a client and reduce the client’s length of stay (Jacob & Cherry, 2007). Case management, or internal case management “within the walls” of the health care facilities was created to streamline costs while maintaining quality care (Jacob & Cherry, 2007).
Hospitals felt the pinch of payment shortfalls in the early to mid-1990s resulting from the prospective payment program (Daniels & Frater, 2011). Because of this dramatic change in organizational culture which engaged hospital employees and physicians in cost savings and delivery of care efficiencies, hospital governing bodies explored the consulting world to help rein in costs and reduce the length of stay of patients (Daniels & Frater, 2011). During this time many hospitals many hospitals recognized a new financial reality and had to downsize, reduce staff, or simply close (Daniels & Frater, 2011). Hospital case management programs then began to proliferate because of this period of industry turmoil.
Case Management Defined
Several experts and health care organizations have defined case management; although, there is no standardized definition for case management (Finkelman, 2006). Case management is a...

Find Another Essay On Case Management

Case Management Model Essay

681 words - 3 pages multiple services the CCFS provides, they are defined as using an organizational-based case management model. Anyone has the ability to be assessed for treatment, after assessment the assigned case manager will discuss the services that will best help the client.Case managers are available to make contact with clients in appropriate private or public areas. One-on-one counseling and small group work are both used, and can make a significant

Strategic management: Case ZARA Essay

864 words - 3 pages smaller arena to operate in, for example, take only the segment for men.Bibliography: - Strategic Management: Concepts, Second Edition (2008), by Mason A. Carpenter and Wm.Gerard Sanders, Pearson Prentice Hall. ISBN-10: 0132341409; ISBN-13: 9780132341400- Harvard online, buy case Zara

diversity management: case study

824 words - 3 pages Nightmare on Wall Street      This case is all about facts and incidents about the harsh truths that lie behind the discrimination and harassment against women in the workplace. Males have predominately rules the workplace on Wall Street and had the perception of having no women take their glory. For years women were filling suits with the EEOC (Equal Employment Opportunity Commission) about the way men were treating

Conflict management case study

4095 words - 16 pages towards the other departments and to lead the treasury. In our case the treasurer is a newcomer. Since the last change his power has decreased and the weight of the treasury is decreased among the bank's divisions as well.b.Chief dealer (29)The previous chief dealer left the company last year, and myself was appointed for the position. I have been working in the treasury for 5 years. As a chief dealer, I have to report directly to the treasurer, and

Strategic Management - Virgin Case Study

1148 words - 5 pages maturity, cash flow with investment demands such as funding new ventures through divestments. E.g. Virgin Music Group was sold in 1992 to allow Branson to expand the airline business (Case, p.684). Later, Virgin also sold the UK and Irish cinemas in 1999 to repay the loans taken out to buy back Virgin Our Price (Case, p.700).ParentingVirgin creates synergies through applying general management capabilities across their businesses. Virgin has

Titanic case study, Project management

2383 words - 10 pages decision making the life boats were reduced to 20.There weren't many technical problems or blunders in the project which led to the sinking of Titanic, but more of poor management. The ship was built so well that it had the ability to survive a head on collision and evacuate all its customers if the warning and evacuation started early.Telephones were installed in all the important areas which would make communication easier and in case of any

Strategy Management/Case study/FedEx

2378 words - 10 pages To assess FedEx case with Strategy Management, the first question should be asked is"What is strategy?" Johnson and Scholes said: "Strategy is the direction and scope of an organization over the long-term: which achieves advantage for the organization through its configuration of resources within a challenging environment, to meet the needs of markets and to fulfil stakeholder expectations".How Strategy is Managed is why we study Strategic

Management process (case study): Computime

3388 words - 14 pages offers end-to-end solutions in consumer and industrial electronics, including product engineering and design, testing, supply chain management, contract manufacturing and logistics services. They have successfully transformed from a local Asian Family business to a global player. To keep up with current trends as well as local and global competitors, Computime must look at decentralising the company's structure. In addition Computime must

Strategic management Case: Bitter Competition

539 words - 2 pages was acquired by Monsanto Corporation for $2.8 billion which is a large amount so with the eye on the loss of the patents, I think it's logical that they going to defend their position with a price war.Conclusion: NutraSweet will probably do a price war because all the competitive advantages. With normal competition, NutraSweet will lose to much market share.Bibliography: - Harvard online, buy case bitter company- Strategic Management: Concepts, Second Edition (2008), by Mason A. Carpenter and Wm.Gerard Sanders, Pearson Prentice Hall. ISBN-10: 0132341409; ISBN-13: 9780132341400

Rob Parson Management Case Study

1684 words - 7 pages Rob Parson Management Case Study 1 Case Overview The internal environment at Morgan Stanley was one of teamwork, employee development, dignity and respect. Morgan Stanley had developed a way of building consensus rather that individualism. Rob Parson was thrust into this environment – not sure of what was expected of him and with only one objective in mind – improving the performance of the Capital Markets division. He went about doing this

Harvard case studies - Operations management

2395 words - 10 pages McDonalds case Part BI. IntroductionMcDonalds is a very famous fast-food restaurant with more than 31,000 worldwide branches. Its main dishes are hamburger and fries. McDonalds has limited choice of food but in turn it serves its patrons fast. However, the restaurant is about 41 years olds now and consequently it becomes penetrated and mature, it has more competitions and tough challenges.In Operation management term, McDonalds has highly

Similar Essays

Case Management Essay

1487 words - 6 pages The focus of this paper is case management. Case management has evolved into a diverse profession which includes many disciplines and is exercised in many settings. Case management involves the process of coordinating multiple services on behalf of clients and has been practiced now for several decades. Many disciplines have engaged in case management and identify themselves as case managers. Case managers work with many populations and

Case Management Essay

1034 words - 5 pages 1. In your own words, describe your understanding of case management? What I understand of case management is that it helps Social Workers in helping their clients, meaning social workers take actions to manage the various aspects of cases they are working on. Case management is also a shared process of assessment, planning, facilitation and advocacy for decisions and services to meet an individual’s need through communication and available

Case Management Essay

602 words - 2 pages Case Management in Managed CareCase workers role has been influenced by managed care and new cost containment strategies which are creating competition and role conflict. Mental health care services theme has become an organized philosophy undergoing massive change. United States managed care leads in healthcare decisions, applying cost effectiveness, evaluation in reimbursement, pharmaceuticals, drug treatments, health maintenance organizations

Case Management: Special Populations Essay

2135 words - 9 pages AbstractCase management profession and practices are both comparable and diverse. Case managers follow a holistic view, client-centered approach, and ethical standards when serving the special needs population. Case managers commonly address their basic concerns, practice similar guidelines, and follow principles that empower the clients in several populations and ensure that services rendered are adequate to the client's needs. However case