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Related Experiment Videos

Implementing case management and developing clinical pathways.

P H Grant1, L L Campbell, L J Gautney

  • 1Baptist Health System, Birmingham, AL, USA.

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
|October 5, 1995
PubMed
Summary

Birmingham Baptist Medical Center Montclair implemented a case management system using the CareMap tool. This initiative successfully reduced costs and improved patient care quality for specific case types.

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Area of Science:

  • Healthcare Management
  • Nursing Informatics

Background:

  • Birmingham Baptist Medical Center Montclair initiated case management and critical path development in the late 1980s.
  • The implementation aimed to streamline patient care processes and improve outcomes.

Purpose of the Study:

  • To evaluate the impact of a case management system on healthcare delivery.
  • To assess improvements in cost reduction and quality outcomes.

Main Methods:

  • Utilized the CareMap system for managing 60-80% of patient care by registered nurses.
  • Employed nurse case managers for patients not following established care maps.
  • Facilitated collaborative efforts for patients not meeting care goals.

Main Results:

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  • Demonstrated significant decreases in cost per discharge.
  • Achieved reductions in variable cost per case.
  • Showcased improvements in quality outcomes for designated case types.
  • Conclusions:

    • The case management program, particularly with the CareMap system, proved effective in enhancing healthcare efficiency.
    • The initiative led to measurable improvements in both cost-effectiveness and patient care quality.