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Case management: high-intensity care for frail patients with complex needs
1Department of Family Practice, University of California, Davis, USA.
Geriatrics
|March 4, 1998
Summary
Case management now focuses on service delivery for diverse populations, driven by Medicare managed care and aging individuals with chronic conditions. Effective management requires integrated care coordination and patient follow-up.
Area of Science:
- Healthcare Management
- Geriatric Care
- Health Services Research
Background:
- Case management has expanded from discharge planning to comprehensive service delivery management.
- Growth in Medicare managed care and an increasing elderly population with chronic diseases are key drivers.
- This evolution necessitates new models for managing patient care across various settings.
Purpose of the Study:
- To outline the evolving role of case management in healthcare.
- To identify essential components for effective case management.
- To describe a specific model for managing high-need patient populations.
Main Methods:
- Literature review and analysis of current healthcare trends.
- Identification of core competencies and structural elements for case management.
- Description of high-intensity/low-volume case management models.
Main Results:
- Case management now encompasses managing service delivery for populations across settings.
- Key components include risk identification, information/provider linkage, interdisciplinary teams, and long-term patient follow-up.
- High-intensity/low-volume models involve dedicated case managers for small patient groups.
Conclusions:
- Case management is crucial for navigating complex healthcare needs of aging populations.
- Integrated, patient-centered approaches are vital for successful outcomes.
- The high-intensity/low-volume model offers a focused strategy for intensive patient management.