When Sentara Medical Group determined its RN case managers working inside physician practices spent just a quarter of their time on managing care, it decided to rewrite its approach to embedded case management.
In the retooled and highly effective version, Sentara's RN case managers now meet patients where they areat home, in the hospital, in the primary care provider office, on the phone or online via Skype or FaceTime virtual sessionsan approach that has reduced overall cost of care by 17 percent for SMG's highest risk, highest cost patients.
Hybrid Embedded Case Management: New Model for Cross-Continuum Care Coordination documents Sentara's successful hybrid approach to case management that has improved outcomes for both patients and physician practices.