The community case management program: for 12 years, caring at its best

Area of Science:

• Geriatric Care
• Health Services Research
• Chronic Illness Management

Background:

• Addressing healthcare gaps for elderly, chronically ill patients between acute and end-of-life care.
• Poudre Valley Hospital's program established in 1995 targets a vulnerable patient population.
• National debate on effective healthcare provision strategies.

Observation:

• Community case managers connect patients to healthcare services and providers.
• Program focuses on enhancing physiological and functional status.
• Resources are identified to improve quality of life and foster self-efficacy.

Findings:

• The program achieved an 81% reduction in financial losses for emergency and inpatient services.
• Demonstrated significant cost savings in 2006 for a specific patient sample.
• Timely access to health-maximizing services was emphasized.

Implications:

• Highlights the financial benefits of integrated care models for chronic illness.
• Suggests community case management as a viable strategy to reduce healthcare costs.
• Provides a successful model for managing complex patient populations within healthcare organizations.