Case Management's Population of Impact


Case Management's Population of Impact

CareOregon’s case management philosophy has been guided by developing programs that are not disease specific, according to Rebecca Ramsay, BSN, MPH, senior manager of care support and clinical programs at CareOregon.

Instead, CareOregon has developed a program that provides complex case management to its members that have comorbid chronic conditions as well as a lot of social morbidity, Ramsay explained.

“Within that we certainly have conditions specific protocols that our case managers follow but we really think about our members in a broad bio-psychosocial context,” she added. “We pay a lot of attention to their assets and we identify those as being critical to developing a successful intervention with our members. We have also spent a lot of time developing proactive technology and outreach capabilities designed to identify and outreach to members earlier.”

Ramsay shared with participants in last month's webinar Case Management: Identifying, Monitoring and Managing Target Populations, how CareOregon is stratifying members in need of case management into a multi-disciplinary team through an overlapping identification methodology, which helps to overcome some of the limitations of predictive modeling and claims-based identification.

In case you missed this webinar, you still have a chance to hear this highly-rated program.

Register to listen today or order your training DVD or CD:
http://store.hin.com/product.asp?itemid=4088

You will get details on:

  • Determining the "Population of Impact";
  • Identifying the population proactively;
  • Finding the sweet spot...where is the opportunity for impact?;
  • The three steps to targeted stratification;
  • Developing a proactive outreach flow for member enrollment and engagement; and
  • A new Recuperative Care Program that provides temporary housing for homeless individuals discharged from the hospital in need of case management.

You'll also get to listen to the question and answer session to hear the hard and soft ROI from CareOregon's case management initiatives, case management case load, creating a "warm hand-off" between the outreach team and case managers and aligning case managers with the primary care practices for improved outcomes.

Here's what participants said about the program:

Learned "new insights into the best way to reach various populations," said Linda Meier with Network Health.

"We're in the process of reorganizing and expanding out case management services, and this information was very helpful in this process," said one participant.

Provided "interesting social support program concepts," according to Karen Mueller, RN, with Blue Cross Blue Shield of Georgia.

You can "attend" this program right in your office and enjoy significant savings — no travel time or hassle; no hotel expenses. It’s so convenient! Invite your staff members to listen to this conference. We will send you a DVD or CD-ROM of the conference proceedings or a link to our web site with a username and password. You can log in and listen to the program right from your computer — any time of the day or night, whenever convenient for you and your colleagues — and benefit from the archived recording of the conference, including the Q&A period.

To register for the on-demand re-broadcast of Case Management: Identifying, Monitoring and Managing Target Populations or order the training DVD or CD-ROM, please visit:
http://store.hin.com/product.asp?itemid=4088

I hope you find it useful.

Cordially,

Melanie Matthews
Executive Vice President
The Healthcare Intelligence Network