The Guide to Embedded Case Management provides a primer on the development and implementation of a co-located case management effort, with advice on startup, launch and operations from Aetna, Bon Secours and CDPHP on their embedded case management programs and the benefits they have derived from on-site case management.
The program profiles delve into all aspects of the model — from hiring, training, caseloads and IT for practice-based care coordinators to selecting practices for pilots to readying the primary care practice for a case manager's arrival. Answers to more than 60 critical FAQs are provided.
This guide also provides a complete set of 2012 benchmarks in embedded case management from 152 healthcare organizations.
Chapter 1: 2012 Benchmarks in Embedded Case Management
Chapter 2: Case Management in the Primary Care Practice
Chapter 3: Essentials of Embedded Case Management
Applying the best practices contained in the Guide to Embedded Case Management will strengthen the infrastructure required to support the industry shift from volume to value and from quality to quality.
Care coordination is at the core of value-based healthcare delivery models like the patient-centered medical home and the accountable care organization (ACO). Healthcare case managers embedded within the physician delivery system help to put a face on care coordination while reducing readmissions and improving quality of care for high-risk populations such as dual eligibles.
About half of healthcare organizations embed or co-locate case managers at points of care, according to 2012 market research by HIN.