Goals for a community-based case management program
Increase utilization of preventative services.
Decrease the number of hospitalizations and emergency department (ED) visits to less than two combined hospitalizations and ED visits yearly.
Decrease inappropriate utilization of health care services.
Identify patients who are at risk for long lengths of stay, high cost of utilization, difficulty in placement, and vulnerable for readmission.
Permit shared access of assessment and administrative information among authorized caregivers in the hospital, ED, nursing home, physician’s office, home health agency, etc.
Evaluate medical treatment plans according
to current best practices and evidence-based guidelines with complete access to the Internet’s store of research and health care information
for reference and patient/family education
Improve Medicare margins by reducing length of stay and direct patient costs per inpatient day.
Improve the quality of life for the patients by helping them and their providers plan and monitor the significant transitions from inpatient to outpatient and home health settings.
Improving communications to all primary stakeholders caring for case managed patients.
Source: Tracy Carver, Director of Client Services, Canopy.com, Chapel Hill, NC. Web site: