BY PATRICIA RESNIK, MJ, MBA, FACHE, RRT, CPHQ, CHC, CHPC
Quality, case management (CM) and utilization management (UM) are key to the financial success of a healthcare organization and play a vital role in the revenue cycle. This article focuses on important connections between quality, CM and UM, and the potential impact on organizational financial outcomes.
BY LAWANNA GADDY, MSN, RN
Quality improvement and accreditation are crucial in the healthcare continuum within a rapidly changing industry landscape. Care management programs and care managers ensure that healthcare delivery is not only effective but also maintains the desired levels of quality every time. This article delves into the essential role of care management in the quality improvement and accreditation journey.
BY MARY ELLEN GERVAIS, PhD, RN, CCM
Perhaps the first step in looking at outcomes for care management, or any clinical program, is to identify the purpose of capturing outcomes.
BY PATRICIA NOONAN, RN, MBA, CCM, FCM
The impetus for quality care led by a national call to action to achieve the Quadruple Aim has driven attention to the importance of measuring quality and safety in healthcare. There are several domains associated with professional case management practice that have an impact on quality outcomes including transitional care, care coordination, safety, health and wellness promotion, advance care planning, satisfaction and quality of life.