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Case Management
The Strategic Approach to
Healthcare Management
Sanjay Patil is a Healthcare IT consultant with top-tier consulting experience in successfully
delivering large-scale custom development projects, application integration, content
management, portal solutions, and implementation of healthcare business solutions. He has
been actively involved in Meaningful Use and is passionate about creating IT solutions for
providers w.r.t different regulatory programs. He has worked to deliver solutions across all
product lines such as EMR, EHR, Care Coordination, and Patient Engagement.
CONTENTS
What is Case Managment?
	 Integrated Case Management
	 Complex Case Management
The Workflow
	 The Case Management Process
Case Management Goals, Objectives,
Strategies, Challenges, & Advantages
	 Why Case Managment?
	 Roles & Responsibilities in Case
	Management
Challenges in the Case Managment
Process & Programs
	 Workflow & Process Challenges
How Technology is Changing Case
Management
	 Promising Health Information
	Technology
	 Evolution Towards Value Based
	Care
	 Value Based Care from a Case
	 Management Perspective
	 New Models for Case
	Management
About Us
3
4
5
7
8
12
12
15
17
17
18
18
18
19
20
21
New Models for Case Management
Promising Health Information Technologies
Healthcare is shifting, and the modification brought about by legislative reform, payment
restructuring and technology will be touching every aspect of the field.
Case management technology is transforming the following:
•	 The way that case managers do their duties but, in some cases, will completely alter the
responsibilities itself.
•	 The arrival of EHRs, wearable technology and the apps that influence them convert into
instant communication to overtake the majority of case managers’ lives in the coming years.
•	 The technology exists to place a patient in the correct post-acute setting and these systems
will only become more widespread.
In conclusion, case managers will have more access to data and connectivity with their patients
once they leave the healthcare settings. Staying connected to patients is going to become
a critical function of the case manager. This is not just to avoid the penalties a hospital can
anticipate to face if a patient is readmitted within the 30-day window, but also to improve
outcomes by helping patients receive the appropriate level of acuity at the right times. Not only
will patient communication be enhanced but how they interact with providers will change for
the better.
All rights reserved © 2020 20
All rights reserved © 2020 21
We Can Help
About Us
Contact Us
Case management enables care providers
to look beyond the traditional’one size fits all
approach’. It offers the ideal strategy for care
providers to maximize the value of care by
matching the needs of the patient with the
right medical services.
Explore the possibilities of case management
in your healthcare practice.
Think Simple. Build Powerful.
That’s not just a philosophy; it’s our way of life.
We are determined to meet your needs and
expectations by delivering simple solutions;
solutions that would help you derive
meaningful insights and better outcomes for
your business.
510 Thornall Street, Suite 201,
Edison, NJ-08837, USA
	732-602-2560x200
	 www.nalashaahealth.com
info@nalashaa.com
Speak to Our Experts Today!

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Case management mini

  • 1. Case Management The Strategic Approach to Healthcare Management Sanjay Patil is a Healthcare IT consultant with top-tier consulting experience in successfully delivering large-scale custom development projects, application integration, content management, portal solutions, and implementation of healthcare business solutions. He has been actively involved in Meaningful Use and is passionate about creating IT solutions for providers w.r.t different regulatory programs. He has worked to deliver solutions across all product lines such as EMR, EHR, Care Coordination, and Patient Engagement.
  • 2. CONTENTS What is Case Managment? Integrated Case Management Complex Case Management The Workflow The Case Management Process Case Management Goals, Objectives, Strategies, Challenges, & Advantages Why Case Managment? Roles & Responsibilities in Case Management Challenges in the Case Managment Process & Programs Workflow & Process Challenges How Technology is Changing Case Management Promising Health Information Technology Evolution Towards Value Based Care Value Based Care from a Case Management Perspective New Models for Case Management About Us 3 4 5 7 8 12 12 15 17 17 18 18 18 19 20 21
  • 3. New Models for Case Management Promising Health Information Technologies Healthcare is shifting, and the modification brought about by legislative reform, payment restructuring and technology will be touching every aspect of the field. Case management technology is transforming the following: • The way that case managers do their duties but, in some cases, will completely alter the responsibilities itself. • The arrival of EHRs, wearable technology and the apps that influence them convert into instant communication to overtake the majority of case managers’ lives in the coming years. • The technology exists to place a patient in the correct post-acute setting and these systems will only become more widespread. In conclusion, case managers will have more access to data and connectivity with their patients once they leave the healthcare settings. Staying connected to patients is going to become a critical function of the case manager. This is not just to avoid the penalties a hospital can anticipate to face if a patient is readmitted within the 30-day window, but also to improve outcomes by helping patients receive the appropriate level of acuity at the right times. Not only will patient communication be enhanced but how they interact with providers will change for the better. All rights reserved © 2020 20
  • 4. All rights reserved © 2020 21 We Can Help About Us Contact Us Case management enables care providers to look beyond the traditional’one size fits all approach’. It offers the ideal strategy for care providers to maximize the value of care by matching the needs of the patient with the right medical services. Explore the possibilities of case management in your healthcare practice. Think Simple. Build Powerful. That’s not just a philosophy; it’s our way of life. We are determined to meet your needs and expectations by delivering simple solutions; solutions that would help you derive meaningful insights and better outcomes for your business. 510 Thornall Street, Suite 201, Edison, NJ-08837, USA 732-602-2560x200 www.nalashaahealth.com info@nalashaa.com Speak to Our Experts Today!