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Case management

Health Factors: Quality of Care
Decision Makers: State Government Healthcare Professionals & Advocates
Evidence Rating: Some Evidence
Population Reach: 50-99% of WI's population
Impact on Disparities: Likely to decrease disparities

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Case management typically involves assignment of a single person (case manager) who coordinates all aspects of a patient’s care, for example: providing information to multiple providers, seeing that the patient receives services in a timely manner, etc.

Expected Beneficial Outcomes

Improved care through effective communication, coordination & completeness of care
Improved health outcomes
Increased patient satisfaction

Evidence of Effectiveness

AHRQ-McDonald 2007 review of care coordination strategies finds that case management appears to improve patient outcomes for patients who have mental health problems, heart failure, or diabetes. Evidence is not sufficient to determine training required for effective case managers (e.g., nurse, social worker, other provider), ideal qualifications of effective case managers, or the specific duties that should be included in case management. Close patient monitoring by the case manager was identified as an important component in two reviews.

Citations - Evidence

AHRQ-McDonald 2007 - McDonald KM, Sundaram V, Bravata DM, et al. Closing the quality gap: A critical analysis of quality improvement strategies (Vol. 7: Care Coordination). Rockville: Agency for Healthcare Research and Quality (AHRQ); 2007 Jun. (Technical Reviews, No. 9.7). Accessed on November 27, 2015

Page Last Updated

January 1, 2011