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CMW Sneak Peek: Steps for starting an ED case management program

Case Management Weekly, June 11, 2008

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Having a case management program in the ED can help alleviate capacity issues, ensure CMS compliance, decrease denials, and promote professional collaboration to improve satisfaction and clinical outcomes.

Knowing where to begin when implementing a case management program can be a challenge, as is knowing how to maintain one. In the March 27 HCPro audioconference, “Implementing ED Case Management: How to Select Your Process, Combat Challenges, and Get Results,” Karen Zander, RN, MS, CMAC, FAAN, principal and co-owner of The Center for Case Management, Inc., in Natick, MA, and Ricki Stajer, RN, MA, CPHQ, administrator of care management at Presbyterian Intercommunity Hospital in Whittier, CA, discussed steps to implement a case management program in the ED and how to avoid common obstacles.

“The first step is the hardest and takes the longest, even if you’re asked to implement right away,” Zander said. That step is to determine why case management is wanted at this time, who wants it, and who doesn’t want it. This is difficult because some might think their system is working fine and that case management is just another intervention from administration, finance, or Medicare.

Check out the June 2008 issue of Case Management Monthly to get the full story, and discover all the benefits of being a Case Management Monthly subscriber.

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