Hospital Case Management: A Review: 2019–2022

Conclusions: The White Paper recommended separating HCMs from utilization management. One unintended consequence is the loss of necessary knowledge and competencies. These are related to compliance with the Centers for Medicare & Medicaid Services Conditions of Participation and regulatory mandates that can affect patient care and financial well-being. Hospital case manager leaders must stay current with these government requirements for hospitals and for all levels of care and keep the case managers informed, proficient, and fluent when coordinating the care of patients. Implications for Case Management Practice: Hospital case manager practice is evolving; change is the single constant in health care. This review of the CMSA Hospital Case Management Whitepaper demonstrates that in just three short years, the landscape of health care can change dramatically. Today's HCM leader must proactively address a multigenerational workforce, lack of title protection, and the COVID-19–induced “Great Resignation.” The value of the HCM has never been more apparent as during the pandemic as the need to “empty beds” is critical, and the HCM is the professional who has the skill to provide efficient and patient-centered care coordination. The HCM leader practices positive leadership techniques that benefit the leader, the HCM, and most importantly the patient.
Source: Professional Case Management - Category: Health Management Tags: Articles Source Type: research