Medical case management
Encyclopedia
Medical case management is a collaborative process that facilitates recommended treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals.
It refers to the planning and coordination of health care
services appropriate to achieve the goal of medical rehabilitation. Medical case management may include, but is not limited to, care assessment, including personal interview with the injured employee, and assistance in developing, implementing and coordinating a medical care plan with health careproviders, as well as the employee and his/her family and evaluation of treatment results.
Medical case management requires the evaluation of a medical condition, developing and implementing a plan of care, coordinating medical resources, communicated healthcare needs to the individual, monitors an individual’s progress and promotes cost-effective care.
The term also has usage in the USA health care system, referring to the case management coordination in the Managed care
environment.
. Confluence: The Journal of Graduate Liberal Studies. http://www.confluence.ou.edu/journal/Fall2009.html
It refers to the planning and coordination of health care
Health care
Health care is the diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in humans. Health care is delivered by practitioners in medicine, chiropractic, dentistry, nursing, pharmacy, allied health, and other care providers...
services appropriate to achieve the goal of medical rehabilitation. Medical case management may include, but is not limited to, care assessment, including personal interview with the injured employee, and assistance in developing, implementing and coordinating a medical care plan with health careproviders, as well as the employee and his/her family and evaluation of treatment results.
Medical case management requires the evaluation of a medical condition, developing and implementing a plan of care, coordinating medical resources, communicated healthcare needs to the individual, monitors an individual’s progress and promotes cost-effective care.
The term also has usage in the USA health care system, referring to the case management coordination in the Managed care
Managed care
...intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on...
environment.
Further Reading
"Case Managing." Aaron Sommers, University of New HampshireUniversity of New Hampshire
The University of New Hampshire is a public university in the University System of New Hampshire , United States. The main campus is in Durham, New Hampshire. An additional campus is located in Manchester. With over 15,000 students, UNH is the largest university in New Hampshire. The university is...
. Confluence: The Journal of Graduate Liberal Studies. http://www.confluence.ou.edu/journal/Fall2009.html