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Community-based case management for chronically ill older adults

M L Boyd, B Fisher, A W Davidson

    Nursing Management
    |November 1, 1996
    PubMed
    Summary

    Case management for chronically ill older adults significantly reduced healthcare utilization, including emergency visits and hospital admissions. This approach also resulted in a substantial positive financial impact, improving net reimbursement.

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    Area of Science:

    • Geriatric Medicine
    • Health Services Research
    • Healthcare Management

    Background:

    • Chronically ill older adults represent a vulnerable population with high healthcare needs.
    • Effective management strategies are crucial for improving outcomes and controlling costs in this demographic.

    Purpose of the Study:

    • To compare the healthcare utilization and financial outcomes of case managed versus non-case managed chronically ill older adults.
    • To evaluate the impact of case management on emergency department visits, hospital admissions, length of stay, and physician visits.

    Main Methods:

    • A comparative study design was employed.
    • Data were collected on healthcare utilization metrics for two groups: case managed and non-case managed chronically ill older adults.

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    Main Results:

    • Case management led to a reduction in emergency department visits.
    • Hospital admissions and length of hospital stay were decreased in the case management group.
    • Primary care physician visits also showed a decrease.
    • A significant positive difference of +93,519.97 in lost net reimbursement was observed favoring case management.

    Conclusions:

    • Case management is an effective strategy for reducing healthcare utilization among chronically ill older adults.
    • Implementing case management can lead to considerable cost savings and improved financial performance in healthcare systems.
    • Case management positively impacts both clinical outcomes and economic efficiency for geriatric populations.