Healthcare Performance Benchmarks
Healthcare Performance Benchmarks
March 9, 2011Vol. I. No. 9

8 Roles of the ED Case Manager

Roles of the ED Case Manager

This Week's Challenge: A quarter of respondents to our 2011 Healthcare Case Management survey embed a case manager in their hospital emergency department. We wanted to examine the roles case managers play in the emergency department. Click here to view a printable version of the chart.

What We Learned: "When we talk about the roles and functions of the ED case manager, we have to consider that they’re very consistent with the roles and functions of an inpatient case manager, with a little bit of twist on the theme. You might say that my inpatient case manager isn’t really a gatekeeper and doesn’t perform gatekeeping functions. But if you think about the role of the case manager in terms of patient flow and movement of the patient through the acute care episode — for example, on telemetry, off telemetry or in and out of the ICU — they really are gatekeeping the appropriateness of the movement of that patient through the acute care continuum. The same would apply to the ED case manager in that they are gatekeeping the patients that are being admitted to the hospital."

Source: Toni Cesta, Ph.D., R.N., F.A.A.N., senior vice president of operational efficiency and capacity management at Lutheran Medical Center.

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Best Practices in Contemporary Case Management

Excerpted from Best Practices in Contemporary Case Management, a 40-page special report that examines three separate case management initiatives as well as the impact of these programs on health outcomes, care delivery and resource utilization. It provides the details on case management programs being utilized at Sutter Health Sacramento Sierra Region, CareOregon and Lutheran Medical Center.

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