March CM Practice Spotlight Webinar
Measuring Outcomes in Case Management Programs: What are the Metrics?
Quality improvement and measurement strategies have grown in the United States over the past half century. Although early quality improvement methods originated in the manufacturing industry, healthcare quality improvement methods can be traced back to notable champions in healthcare including Florence Nightingale and Ernest Codman. Most recently, the impetus for quality care led by Congressional mandates and national stakeholder agencies have driven attention to the importance of measuring quality and safety in healthcare related to value-based payment models. Quality healthcare is a high priority in the United States. According to CMS, it implements quality initiatives to assure quality health care for Medicare and Medicaid beneficiaries through accountability and public disclosure. CMS uses quality measures endorsed by the National Quality Forum in its various quality initiatives that include quality improvement, pay for reporting, and public reporting.
Professional case managers have a responsibility to measure the value of case management practice on patient outcomes. There are several domains associated with professional case management practice that have an impact on quality patient outcomes including transitional care management, care coordination, patient safety, health and wellness promotion, patient satisfaction, and quality of life. Identifying meaningful measures and developing a national quality measurement strategy is essential to demonstrating the value of case management’s contribution to quality patient outcomes. This session will review the background of quality measurement in the United States; explore the Quadruple Aim as a framework for case management outcomes measurement; and discuss the need for development of case management key indicators to demonstrate case management’s contribution to advancing quality, efficient healthcare in value-based payment models.
1. Review the background on quality measurement in the United States.
2. Explore the Quadruple Aim as a framework for case management outcomes measurement and identify possible relevant metrics.
3. Discuss the need for development of case management sensitive indicators to demonstrate case management’s contribution to advancing quality, efficient healthcare.
Member Only Program
CEs: 1 Hour Nursing, 1 Hour CCM Ethics, and 1 Hour SW
Please note that CEs are pending approval
Presenter: Patricia Noonan, RN, MBA, CCM
March 31, 2020 at 11am CT