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Downloadable Healthcare Metrics: 2014 Rise in Embedded Case Management Driven by Accountable Care Savings


Two-thirds of healthcare organizations have amped up care coordination across the continuum by embedding or colocating case managers at points of care, according to the latest complimentary HINtelligence report from the Healthcare Intelligence Network.

Sea Girt, NJ, December 19, 2014 --(PR.com)-- Two out of three healthcare companies place case managers within primary care practices, hospital admissions and EDs, skilled nursing facilities and other care locations, according to a 2014 survey on Embedded Case Management by the Healthcare Intelligence Network.

This metric represents a substantial increase over 2012, when just over half of responding organizations reported an embedded case management approach.

For 2014 respondents, avoidance of CMS readmissions penalties and a desire to accrue cost savings from accountable care are key motivators behind the practice. "Research shows embedded case managers at the point of care caring for the whole person in all healthcare environments produces better outcomes," one respondent noted.

Download more survey results from the complimentary HINtelligence report, "Embedded Case Management in 2014: Tackling Readmissions, ED Utilization, Care Transitions at the Point of Care," at http://www.hin.com/library/registerEmbeddedCaseManagement2014.html

As more care teams expand to include an on-site case manager, ensuring those case managers remain focused on care management rather than routine nursing tasks is a key challenge, say 22 percent of respondents.

Embedded case management initiatives have helped to reduce hospital readmissions and ED use and smoother transitions in care, respondents report.

News Facts: HIN's white paper, "Embedded Case Management in 2014: Tackling Readmissions, ED Utilization, Care Transitions at the Point of Care," summarizes October 2014 responses from 125 hospitals/health systems, health plans, primary care practices and others on their embedded case management initiatives.

Other data highlights from the survey include the following:

-Care coordination of complex patients with multiple morbidities is the chief domain of embedded case managers, say 86 percent of respondents.

-In addition to case management placement within primary care and hospital locations, some respondents embed their case managers in skilled nursing facilities (SNF), sub-acute facilities, and oncologists' practices.

-The majority of respondents (77 percent) prefer that embedded case managers be registered nurses; 55 percent prefer that they have a bachelor's degree.

-In addition to case management assessments (75 percent), provider referrals were a key factor in stratifying individuals for embedded case management, according to 52 percent of respondents.

-Seven percent of survey respondents report program ROI from embedded case management between 2:1 and 3:1, or between 3:1 and 4:1.

Patient satisfaction is among the greatest successes of embedded case management programs, respondents agreed.

Download more survey results from the complimentary HINtelligence report, "Embedded Case Management in 2014: Tackling Readmissions, ED Utilization, Care Transitions at the Point of Care," at http://www.hin.com/library/registerEmbeddedCaseManagement2014.html

Quote Attributable to Melanie Matthews, HIN Executive VP and COO:

"Having monitored the growth of embedded case management over the last three years, we've observed that case managers coordinating care for high-risk, high-cost patients alongside providers not only enhances quality and clinical outcomes, and ultimately profitability, but also provides a high touch, first line of contact for managed patients, a relationship essential to engaging them in self-management of their chronic illness."

View Melanie Matthews's profile at http://www.hin.com/bios.html#mm

Please contact Patricia Donovan to arrange an interview or to obtain additional quotes.

About the Healthcare Intelligence Network — HIN is the premier advisory service for executives seeking high-quality strategic information on the business of healthcare. For more information, contact the Healthcare Intelligence Network, PO Box 1442, Wall Township, NJ 07719-1442, (888) 446-3530, fax (732) 449-4463, e-mail info@hin.com, or visit http://www.hin.com.
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Healthcare Intelligence Network
Patricia Donovan
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