Clinical Case Management Practice

Clinical Case Management Practice
DescriptionOverview
The case manager (CM) plays an integral role in ensuring patient safety and improving the quality of care. She/he promotes continuous performance improvement for
patients and organizations as an evaluator of healthcare and case management services.
Case managers also:
• Serve as vital members of quality improvement teams, functioning as leaders and facilitators for the activities of the team.
• Identify risk areas in the care environment and processes that may lead to adverse or sentinel events in patient care and services.
• Develop an action plan in a proactive approach to address these risks.
• Ensure that the organization and other professionals adhere to regulatory and accreditation standards.
• Focus on resource utilization, financial management, and cost effective outcomes that are patient centered.
Stewardship of health care dollars, safe transitions of care, and evaluation of patient adherence are case management goals that drive excellence in case management
practices
reference
• Pages 1-285 in the The Case Manager’s Handbook (5th Edition).
• Pages 21-63 in the Nursing Case Management: Review and Resource Manual.
Questions
1. Respond to the following questions in 300-500 words:
o What is the CMs role in quality control and risk management?
o What role are you currently filling in that process in your current practice?
o Discuss innovations you would implement in current practice to make programs more effective.
2. Give additional details, statistics, ideas, personal perspectives, or links to interesting, relevant articles

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