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Prof Case Manag. 2013 May-Jun;18(3):138-41. doi: 10.1097/NCM.0b013e31828495b1.

The evolution of Banner health's case management program.

Author information

  • Banner Health, 1441 N. 12th Street, Phoenix, AZ 85006, USA. linda.stutz@bannerhealth.com

Abstract

PURPOSE/OBJECTIVES:

The evolution of case management programs continues as health care systems adapt to the requirements and provisions under the Patient Protection and Affordable Care Act. One such provision establishes a new category of health care provider-the accountable care organization. These organizations provide a form of coordinated health care delivery. The successful integration of an accountable care organization, along with a better coordinated, higher quality case management care model, will provide better access to health care, improved care transitions and safety for the patients, and lower costs to the health system.

PRIMARY PRACTICE SETTING(S):

Acute-care hospitals; ambulatory care centers; and primary care physician practices.

FINDINGS/CONCLUSIONS:

IMPLICATIONS FOR CASE MANAGEMENT PRACTICE:

A successful implementation of this type of case management model requires systematic changes to technological and organizational structures. The stewards of the case management model must be proactive in garnering and maintaining executive and financial support. y designing an electronic documentation system with one work flow and a standard set of data definitions, health systems will be able to provide standardization and reduce variations of care. This type of standardization creates a central database for easy reporting and decision making.• Achieved successes, associated with improved clinical outcomes, can translate into considerable reductions in the controllable expenses for a health system.

PMID:
23584524
[PubMed - indexed for MEDLINE]
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