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Achieving breakthrough outcomes: measurable ROI.

Fredric I Orkin1, Sylvia Aruffo

  • 1Czarnek-Orkin Laboratories, Inc., Highland Park, IL, USA.

The Case Manager
|September 28, 2006
PubMed
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Think you have a compliance problem? Think again.

The Case managerยท2005
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Case managers balance patient well-being with financial accountability. Demonstrating the value of improved quality of life is key to satisfying both patient needs and organizational return on investment (ROI) goals.

Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Patient Advocacy

Background:

  • Case managers face pressure to justify their work through financial metrics like return on investment (ROI).
  • Patients prioritize quality of life improvements, often viewing themselves beyond mere data points.
  • There's a perceived conflict between demonstrating patient-centered value and meeting budget-focused business objectives.

Purpose of the Study:

  • To explore the challenges case managers face in reconciling patient advocacy with financial performance demands.
  • To identify strategies for effectively communicating the value of enhanced patient quality of life to management.
  • To bridge the gap between qualitative patient outcomes and quantitative business metrics.

Main Methods:

  • Qualitative analysis of case manager experiences and perspectives.

Related Experiment Videos

  • Review of common arguments used to justify case management interventions.
  • Exploration of potential frameworks for ROI in patient-centered care.

    • Main Results:

    • Case managers often struggle to quantify the financial benefits of improved patient quality of life.
    • Traditional ROI models may not adequately capture the full value of case management services.
    • Effective communication and data presentation are crucial for demonstrating value to stakeholders.

    Conclusions:

    • Achieving buy-in from management requires innovative approaches to measuring and reporting value.
    • Integrating patient-reported outcomes with financial metrics can strengthen the case for case management.
    • Case managers can be "heroes" by effectively demonstrating how patient well-being drives organizational success.