How do outcomes impact case management?

How do outcomes impact case management?

Overview
In today’s world there is concern for the economy and concern for healthcare. Case managers have to be very aware of their patients’ economic status, whether or not they are insured, and what is covered in their benefit package if they do have insurance. The new Patient Protection and Affordable Care Act (PPACA) is a comprehensive reform bill that case managers must be familiar with to provide care. This law expands coverage, controls healthcare costs, and is projected to improve the healthcare delivery system.
To that end, case managers must ensure that patients and families have the tools they need to manage their illness. On the other hand, the organization must be safeguarded to ensure that they remain financially healthy. Therefore, case managers must look at case management coordination tools that have the ability to meet clinical challenges, integrate evidence based practice, and provide cost effective quality care. Tools that help the case manager make sound clinical judgments and manage resource health care situations appropriately are a requisite skill for case managers

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Read the following:
• Pages 387-468 in the The Case Manager’s Handbook (5th Edition) Mullahy.
• Pages 67-108 in the Nursing Case Management: Review and Resource Manual
Questions

1.Respond to the following questions in 300-500 words:
2.How do outcomes impact case management?
3.What categories of outcomes are involved in case management practice?
4.Write additional details, statistics, ideas, personal perspectives, or links to interesting, relevant articles.