Cost-effectiveness of case management: a systematic review

Klaehn, Ann-Kathrin; Jaschke, Julia; Freigang, Felix; Arnold, Matthias

doi:10.37765/ajmc.2022.89186

Cited by 6 publications

(4 citation statements)

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“…This is in accordance with recent studies that have shown that managing patient flows through CM is not only beneficial to the patient but is also beneficial to the organisation. 32 34 The literature is divided on the cost-effectiveness of CM, 45 which is probably explained by the wide variability of CM approaches. Nevertheless, our interventions proved to be cost-effective in our hospital setting.…”

Section: Discussionmentioning

confidence: 99%

Streamlining patient flow and enhancing operational efficiency through case management implementation

Al Harbi,

Aljohani,

Elmasry

et al. 2024

BMJ Open Qual

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BackgroundImproving patient flow in hospitals represents a worldwide healthcare challenge. The objective of this project was to depict the effectiveness of case management in improving patient flow in a tertiary hospital setting.MethodsQuality improvement methods, including quantitative pre-Lean and post-Lean design, the Plan-Do-Check-Act concept, the Single Minute Exchange of Dies and the ‘demand and supply approach’ of the Institute of Healthcare Improvement, were adapted to examine and modify factors influencing hospital patient flow.ResultsThis study (conducted from the last quarter of 2019 through September 2022) resulted in a remarkable improvement in patient flow, as evident from the reduction in average hospital length of stay (from 11.5 to 4.4 days) and average emergency department boarding time (from 11.9 to 1.2 hours) and the improvement of bed turnover rate (from 0.57 to 0.93), (p<0.001, p=0.017, p=0.038, respectively), with net cost savings of 123 130 192 million Saudi Riyals (US$32 821 239).ConclusionImplementing a well-structured case management programme can enhance care coordination, streamlilne transitions, boost patient outcomes, and increase revenues within hospital settings.

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Section: Discussionmentioning

confidence: 99%

Streamlining patient flow and enhancing operational efficiency through case management implementation

Al Harbi,

Aljohani,

Elmasry

et al. 2024

BMJ Open Qual

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“…Strikingly, only 19% of respondents reported that they had adequate resources in their practice to address SDOH challenges (52). To address these issues, increased involvement of case managers or social workers who not only support hospital discharges and prevention of rehospitalizations but also are knowledgeable about broad and local assistance programs such as transportation, social services, and food banks have been increasingly prioritized in chronic illnesses (53)(54)(55)(56). Many of these programs, including Chronic Care Management, have been demonstrated to improve health outcomes while potentially saving costs (53)(54)(55)(56).…”

Section: Clinician Perspectives and Call To Actionmentioning

confidence: 99%

“…To address these issues, increased involvement of case managers or social workers who not only support hospital discharges and prevention of rehospitalizations but also are knowledgeable about broad and local assistance programs such as transportation, social services, and food banks have been increasingly prioritized in chronic illnesses (53)(54)(55)(56). Many of these programs, including Chronic Care Management, have been demonstrated to improve health outcomes while potentially saving costs (53)(54)(55)(56). Indeed, better outcomes, including reduced hospital-level resource utilization and costs, have been observed with holistic care management interventions in multiple sclerosis (MS) (57)(58)(59) and stroke (60)(61)(62)(63).…”

Section: Clinician Perspectives and Call To Actionmentioning

confidence: 99%

The economic burden of individuals living with generalized myasthenia gravis and facing social determinants of health challenges

Hughes,

Howard,

Silvestri

et al. 2023

Front. Public Health

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ObjectiveBetter understanding the impact of social determinants of health (SDOH) barriers from the patient perspective is crucial to improve holistic patient support in generalized myasthenia gravis (gMG), a rare autoimmune disorder with high disease and treatment burden. The objective of this study was to identify economic challenges experienced by individuals living with gMG and SDOH barriers to better address current unmet needs.MethodsAdults (18–75 years) living with gMG and experiencing SDOH barriers in the United States were recruited to a mixed-methods study including qualitative interviews and a web-based quantitative survey. Quotas were implemented to include a balanced spread of baseline demographic categories including insurance type, living environment, and employment status among the study sample. Direct and indirect economic challenges were identified by degree of concern.ResultsThe survey was completed by 38 individuals living with gMG, the majority of whom were enrolled in public insurance and not employed. The most commonly reported major economic concerns were managing funds for emergency care (66%), loss of income (61%), and non-medical expenses (58%), highlighting the diversity of economic challenges. Individuals who were using public insurance plans, living in non-urban environments, and unemployed experienced pronounced challenges around managing non-medical costs and accessing government assistance.ConclusionBoth direct and indirect costs were emphasized as major concerns among individuals living with gMG and SDOH barriers. Increasing access to relevant, personalized, and holistic resources, including care management, should be prioritized to improve disease management and outcomes for individuals living with gMG.

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“…The value of professional case managers, particularly those who are board-certified, is unquestionable in their roles as advocates, care coordinators, and key members of interdisciplinary teams. Case managers rely on evidence-based practice to provide person-centered care in pursuit of the individual's goals (Giardino & De Jesus, 2023; Klaehn et al, 2022; Parker-Williams, 2023). The case management process—assessing, planning, implementing, coordinating, monitoring, and evaluating—provides an extensive toolkit.…”

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confidence: 99%

Celebrating Small Miracles—Because We Can't Change the World

Campagna

2024

Professional Case Management

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Cost-effectiveness of case management: a systematic review

Cited by 6 publications

References 0 publications

Streamlining patient flow and enhancing operational efficiency through case management implementation

Streamlining patient flow and enhancing operational efficiency through case management implementation

The economic burden of individuals living with generalized myasthenia gravis and facing social determinants of health challenges

Celebrating Small Miracles—Because We Can't Change the World

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