The case managers have the task of optimally coordinating the entire individual care of the patient. They act and communicate as mediators between the professional groups involved (e.g., doctors and nursing staff), the interfaces (e.g., ward and radiology), and the patients. For example, they organize the occupancy of beds and coordinate discharge dates. This increases the quality of treatment, patients are better informed, and waiting times are shortened. The satisfaction of patients and employees is increased.
For many patients, medical or nursing care is essential even after their inpatient stay. Through close contact with the patient, the case managers can assess whether, for example, a rehabilitation measure or home care is necessary. If this is the case, Case Management calls in the hospital's social service, which organizes everything else together with the patient.
In addition to the patient-oriented tasks, economically oriented case management is also one of the case manager's activities. The economic conditions in the hospitals require an improvement in the cost and income situation of the house. Case managers need to ensure that power usage is optimized to accomplish this. In addition, the case managers monitor the documentation, which is based on the DRG system, so that they can then correctly code the patient's cases. In this way, claims can be billed promptly and the number of reviews by the medical services of the health insurance companies reduced.
The case managers at the clinic, therefore, have a coordination function within the entire treatment process. Experience has shown that the methods could be improved both for the patient and for everyone involved in the treatment. On an in-person and online basis, Kentucky case management professionals offer case management services. We provide substance case management, mental health case management, and other resources for persons with a range of needs and issues.
Case management or support management initially developed as an extension of individual aid in the USA has become a systematic reorientation in social work and in the health sector. Systemic and eco-social perspectives are fundamentally expressed in this concept. Case management is intended to enable professionals in the social and health sector to coordinate help options under complex conditions and use existing institutional resources in the community or work area in a coordinating manner. The role is to plan, monitor and analyze a focused system of cooperation that is oriented towards the individual's unique support needs and directly includes the person involved in the system's development. It is not just the qualities of a consultant that are required, but rather that of moderators with ultimate responsibility, who assess the needs of clients in the process of providing help, who coordinates the planning and securing of the provision of medical and social services, who set priorities and, if necessary, in the future Develop or set standards and ensure compliance. The aim is a quality guarantee that is inextricably linked with the safeguarding of consumer rights.
In the case of management, the distinction between case management (optimization of help in a specific case) and system management (optimization of care in the area of responsibility) is relevant. The transitions from system management to care management are fluid.
Case management thus appears as case management and system management
Case management means concrete support work to improve personal networks. The point here is to accompany a person in need effectively and efficiently, to steer the help process with him.
Systems management refers to the use, attraction, and initiation of networks. This is about effective and efficient management of care in the respective responsibilities and optimizing the system of care. In practice, case management, the two aspects usually converge.
The official definition of the CM of the DGCC is:
"Case management is a procedure in human services and their organization to provide the necessary support, treatment, accompaniment, advancement, and care for people appropriately in individual cases. Simultaneously, the approach is a program according to which performance processes in a system of care and respective social and health care areas can be effectively and efficiently controlled."