Case management accountability for safe, smooth, and sustained transitions: a plea for building "wrap-around" case management services now

Professional Case Management
Karen Zander

Abstract

The purpose is to encourage hospital administrations to address readmissions immediately and to restructure and significantly enhance case management services once and for all so that they can provide a "wraparound" service for the full clinical course from admission to transition for all patients and families. If 10 basic interventions cannot be provided because of staffing limitations or processes, case management will continue to operate in a crisis mode and hospitals will suffer potentially large financial, quality, and satisfaction losses. If further customization cannot be provided to patients and their families, hospitals will be at risk to fail both their margin and their mission. Although other professionals and support staff will have distinct responsibilities, case management must be built, resourced, and restructured to be the authorized and accountable central control operation between level-of -care transitions. Acute care hospitals. The national length of stay (LOS) has lowered from 7.8 days in 1970 to 5.2 days (males) and 4.5 days (females) in 2006 (DeFrances, C., Lucas, C., Buie, V., & Golosinskiy, A., 2008), whereas the national readmission rate for adult medical-surgical patients, depending on the diagnosis a...Continue Reading

Citations

Jan 15, 2011·Hemodialysis International·Andrew ConnorMatthew W Cooke

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