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Published on: February 16, 2011
Case management: a case study
M P Stanton1, E M Walizer, J I Graham
1University of Alabama, Capital College of Nursing, Tuscaloosa 35487, USA.
Implementing a pilot case management program in a large military medical center revealed common challenges. This article shares strategies for overcoming early-stage implementation hurdles in complex healthcare settings.
Area of Science:
- Healthcare Management
- Medical Administration
- Clinical Operations
Background:
- Large multiservice medical centers present unique challenges for implementing new programs.
- Case management is a critical component of efficient healthcare delivery.
- Previous models for case management in complex settings require review.
Purpose of the Study:
- To describe the implementation of a pilot case management program at Walter Reed Army Medical Center.
- To identify and discuss pitfalls and problems encountered during program implementation.
- To outline steps and processes used to advance case management in its initial phases.
Main Methods:
- Pilot program implementation.
- Qualitative analysis of challenges encountered.
- Review of existing case management models.
Main Results:
- Early implementation of case management in a large medical center faces significant obstacles.
- Specific strategies were developed to address and overcome these challenges.
- The program's initial stages required adaptive processes to ensure progress.
Conclusions:
- Insights from this pilot program can guide case management implementation in complex medical environments.
- Adaptable strategies are crucial for successful program rollout in large healthcare institutions.
- Reviewing and adapting existing models is beneficial for optimizing case management.
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