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Embedded Case Managers Reduce Hospital Readmissions, Avoidable ER Visits

Twenty-six percent of respondents to a 2014 survey on Embedded Case Management (ECM) credit efforts by onsite case managers for reductions in hospital readmissions and avoidable ER visits, according to new market metrics from the Healthcare Intelligence Network.

Sea Girt, NJ, February 02, 2015 --( More than two-thirds—68 percent—of 2014 respondents embed case managers at points of care, up from 53 percent reported one year ago, according to benchmarks compiled by the Healthcare Intelligence Network, a leading publisher of healthcare news, metrics and trends.

Embedded case managers are charged with reducing avoidable rehospitalizations of high-risk, high-cost patients by 83 percent of healthcare organizations, the survey determined.

Additionally, most successful ECM tools and work flows shared by this year's respondents support this goal: hospital discharge follow-up call programs; use of the LACE readmissions tool to identify individuals at high risk of readmissions; and real-time alerts on hospital admissions and emergency room visits.

"2014 Healthcare Benchmarks: Embedded Case Management" provides actionable data from 125 healthcare organizations leveraging embedded or co-located case management to improve healthcare quality, outcomes and spend—including those who apply a hybrid embedded case management approach.

Learn more about 2014 embedded case management metrics at

Given the ambitious agenda for Medicare value-based payments announced by CMS earlier this month, care coordination and patient education by embedded case managers will be essential to achievement of quality benchmarks inherent in alternative payment models, particularly in the area of chronic care management and healthcare utilization.

News Facts: Supported with dozens of graphs and tables, "2014 Healthcare Benchmarks: Embedded Case Management" documents emerging trends in embedded case management, including the following data points:

-Care sites for embedded case managers;

-Populations assigned to embedded case managers, with data on the newly discharged, super utilizers, and others;

-Tools and approaches for stratifying individuals for embedded case management;

-Drivers for embedding and co-locating case managers within care sites;

-Responsibilities and average case loads of embedded case managers;

-The most effective tools, protocols and work flows in use by embedded case managers, in respondents' own words, including electronic health records (EHRs), telemedicine, registries, home visits and others;

-Challenges, benefits and ROI attributed to case management colocation;

-Impact of embedded case management on patient satisfaction, hospital readmissions, self-management, total cost of care, and other key metrics;

-Successes achieved with embedded case management;

and much more.

Learn more about 2014 embedded case management metrics at

Report Formats: Print, PDF, Print/PDF combination, enterprise PDF site license.

Quote Attributable To Melanie Matthews, HIN Executive VP And COO:

"The value-based reimbursement timeline and support for chronic care management recently announced by CMS underscore the need for multidisciplinary care teams to manage high-risk populations. The metrics in this new benchmarks report document the contributions of embedded case managers to this effort."

Please contact Patricia Donovan to arrange an interview or to obtain additional quotes. For for Melanie Matthews' profile, please visit

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, or visit
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Healthcare Intelligence Network
Patricia Donovan

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