Case Management

Mentor moment: Decrease length of stay through communication and collaboration

Case Management Weekly, January 26, 2011

The case management team’s objective is to come up with a safe, agreed upon discharge plan for the patient and develop goals to reach that discharge plan in a timely manner and cost effective manner. The only way to accomplish that objective is through proactive, ongoing communication within the team.

At the healthcare facility where I am the director of case management, we have a -team of highly-skilled, experienced social workers and case managers with intermingled job responsibilities. The social workers assess the patient’s environmental and social issues, while the case manager’s focus on the medical barriers preventing discharge. The entire team then meets every morning to brainstorm possible solutions to overcome those barriers. The social workers and case managers continue to communicate with each other during the day to develop appropriate discharge plans.

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