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Community-based case management for positive outcomes.

B J Hammer1

  • 1Margaret R.Pardee Memorial Hospital, Hendersonville, NC, USA.

Geriatric Nursing (New York, N.Y.)
|October 19, 2001
PubMed
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A rural hospital

Area of Science:

  • Health Services Research
  • Community Health
  • Healthcare Management

Background:

  • High-risk patients and high users of costly services strain healthcare resources.
  • Rural hospitals face unique challenges in managing patient care and costs.

Purpose of the Study:

  • To describe the implementation of a community-based case management program in a rural hospital.
  • To evaluate the program's impact on cost containment and client-focused outcomes.

Main Methods:

  • Identification of high-risk patients and high service utilizers.
  • Implementation of a community-based case management program.
  • Measurement of outcomes including cognition, daily living activities, and nutritional risk.

Main Results:

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  • The program demonstrated positive results in both cost containment and client outcomes.
  • Significant improvements were observed in cognition, activities of daily living, and nutritional risk.
  • Reduced healthcare resource utilization and associated cost savings were achieved.

Conclusions:

  • Community-based case management is effective in rural settings for improving patient outcomes and reducing costs.
  • This model offers a sustainable approach to managing high-risk populations.