Case management is a collaborative process that includes the assessment, planning and coordination of options and services to meet a patient’s medical care needs. Effective case management utilizes available resources to achieve high-quality and cost-effective outcomes.
Discharge planning is one function of case management. In the hospital setting, case managers assist patients and families in developing a discharge plan, including coordination of community based medical services and, when necessary, admission to a post-acute care facility, such as an acute rehabilitation unit or hospital, or skilled-nursing facility.
Every patient has a unique pathway. From hospital to rehabilitation, LTAC, SNF or home, our job is to help patients to the best outcome possible. Post-acute care providers need to find new pathways, too. Our health care system is evolving fast as we begin active implementation of the ACA. This year’s program is full of pertinent and timely topics to help you address and plan for coming change.
The CalVet Veteran’s Resource Book is a guide for all California veterans and their families to assist them in utilizing all their potential entitlements and assist their reintegration back into the community.