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Case management programs: investment in the future.
1FHP International/Quality Continuum, Cerritos, CA, USA.
HMO Practice
|November 4, 1995
Summary
A proactive patient care management program successfully identified and managed high-risk patients, saving nearly $4 million in its first year. This initiative also enhanced patient satisfaction and care quality.
Area of Science:
- Healthcare Management
- Health Economics
- Patient Care
Background:
- High-risk/high-cost patient management is crucial for healthcare efficiency.
- Proactive case management programs can offer significant financial and clinical benefits.
Purpose of the Study:
- To evaluate the impact of a pilot Patient Care Management program.
- To identify key factors contributing to the success of case management initiatives.
Main Methods:
- Implementation of a pilot Patient Care Management program by FHP, Inc. in Long Beach/Orange County, California.
- Focus on identification and management of high-risk/high-cost patient populations.
Main Results:
- Estimated cost savings of nearly $4 million in the first full year of operation.
- Improvements in patient satisfaction and quality of care.
- Reduction in medical-legal risks.
Conclusions:
- A well-planned, proactive case management program is a valuable investment.
- The program's success has led to its expansion to other FHP operations.
- Key steps and success factors in program development are examined.