Case management is a well-established way of integrating services around the complex needs of people with long-term conditions. It is a targeted, community-based and pro-active approach that identifies individuals at high risk of hospital admission, assesses their needs, produces a personal care plan, and ensures co-ordination of that plan. However, evidence to date suggests that case management is not always implemented in a cost-effective way or to the benefit of patients and carers.
Case Management: What it is and how it can best be implemented examines how this key strategy can improve delivery of integrated care for people with long-term conditions. The authors explore the questions:
For those implementing and delivering case management programmes, the paper outlines those core components that are required if they are to be successful. It concludes that case management programmes have significant potential to deliver both better care for patients and cost savings. However, to do so they must be well designed, involve appropriate and professionally trained case managers and care teams and be embedded in a wider system that supports and values integrated and co-ordinated care.