Hospital Case Management Models

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Hospital Case Management Models

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Hospital Case Management Models: Evidence for Connecting the Boardroom to the Bedside

Karen Zander; RN, MS, CMAC, FAAN

Bridge the gap from the boardroom to the bedside with the right case management model

The right case management model can make or break your efforts to meet your organization’s strategic goals. But how do you find the model that works for your organization and how can you garner the support you need from your organization’s executive team?

In this first-of-its-kind resource, case management expert Karen Zander, RN, MS, CMAC, FAAN, guides you through selecting and implementing a proven model that fits cohesively with your facility’s culture in Hospital Case Management Models: Evidence for Connecting the Boardroom to the Bedside.

Align case management with your organization’s top strategic goals

This book will help you choose a model that aligns with your board’s mission. You’ll learn how to carry your model through your organization and operationalize it at the bedside through direct patient interaction by case managers and social workers. Plus, you’ll get the guidance you need to gain support from your executive team.

This user-friendly guide will help you:

  • Choose a case management model based on best evidence and experience that will meet your organizational needs
  • Streamline your case management department and responsibilities to ensure quality patient care, increase staff and patient satisfaction, and reduce cost of care delivery
  • Understand how to implement the model at the point of care with helpful Bedside Bulletins found at the end of each chapter
  • Organize your model by using the included evidence-based tools, decision trees, and case examples

Finally—a resource that combines theory, evidence, and practical how-to tips!

Linking everything in a logical fashion, this new resource combines the important theory behind each case management model with practical Bedside Bulletins that care managers can implement at the point of care. Found at the end of each chapter, these Bedside Bulletins deliver tips and tools to put your model into practice at the bedside.

Plus, this book’s innovative data dashboard tool makes it easy for case management departments to outline their contributions to the four main goals of any healthcare organization’s board of directors:
1. Financial stability
2. Quality care and patient satisfaction
3. Growth
4. Relationships

Take a look at the table of contents:

Chapter 1: Importance of Models
Chapter 2: Case Management Practice in Hospitals: Coming of Age
Chapter 3: Case Management’s Position in the Organization
Chapter 4: Fundamental Components of Hospital Case Management Models
Chapter 5: Hospital Case Management Deliverables
Chapter 6: Matching Models to Deliverables
Chapter 7: Using the Evidence-Based Practice (EBP) Method for Case Management Model-Building
Chapter 8: Unique Hospital Case Management Models and Division of Responsibility
Chapter 9: Morphing Models for Future Demands

Learning objectives:

  • Explain the importance of models in healthcare
  • Discuss the various types of models typically found in case management 
  • Describe the differences between the two professions of RN case management and social work
  • Explain the reasons for defining models of case management
  • Discuss how case management functions have evolved
  • Identify the various positions to which directors of case management may report
  • List benefits for each case management reporting structure
  • Identify the seven fundamental components of case management models
  • List the three primary roles of hospitals’ boards of directors
  • Identify deliverables over which case management has control or influence
  • Describe key data that is collected by case management
  • Explain how a data dashboard aids data reporting
  • Describe how case management professionals are accountable for deliverables
  • List the four case management deliverables of most concern to boards
  • Explain which model best suits each of the four concerns
  • Explain how to use cost benefit analysis to identify the best model for an organization
  • Discuss the collection of evidence concerning case management models
  • Discuss eight key questions in model building that can be examined with evidence
  • Discuss the synergy between case management models and care delivery models
  • Explain case management’s responsibility in the various models of case management discussed
  • Describe the challenges of applying a case management model to a multi-hospital system
  • Explain the role physicians will play in evolving case management models
  • Discuss how the changing healthcare environment will affect case management models


Meet the author

Karen Zander, RN, MS, CMAC, FAAN, is principal and co-owner of The Center for Case Management, Inc. Her pioneering work with clinical case management and CareMap® systems, begun at New England Medical Center Hospitals in Boston, is internationally recognized. Hospitals and Health Networks has named her a Cutting Edge leader. She is co-author of Emergency Department Case Management: Strategies for Creating and Sustaining a Successful Program, published by HCPro, Inc.

Faculty Disclosure Statement: HCPro Inc. has confirmed that none of the faculty/presenters or contributors have any relevant financial relationships to disclose related to the content of this educational activity.

Published: July 2008