2012-09-04 21:28:34 - "Essentials of Embedded Case Management: Hiring, Training, Caseloads and Technology for Practice-Based Care Coordinators" documents the results of two early adopters of embedded case management: Aetna and Bon Secours Health System.

SEA GIRT, NJ, USA, August 31, 2012 --- A forerunner in practice-based case management, Aetna began placing nurse care coordinators in primary care practices in 2007, buoyed by returns from its telephonic case management efforts. Since then, the payor has clearly demonstrated the value of embedded case managers working side-by-side with physicians serving its Medicare members.

Likewise, several years ago, Bon Secours Health System started embedding case managers within practices, putting them to work as nurse navigators for patients with complex needs or for those experiencing transitions of care.

Essentials of Embedded Case Management: Hiring, Training, Caseloads and Technology for Practice-Based Care Coordinators, a new publication from the Healthcare Intelligence Network (HIN), documents the experiences of Aetna and Bon Secours

in the recruitment, education, workload management and IT support of practice-based case managers.

Learn more about embedded case management at: www.hin.com/cgi-local/link/news/pl.cgi?essentialsembcasemgmt.

NEWS FACTS: In this 40-page resource, Dr. Randall Krakauer, Aetna's Medicare medical director, and Irene Zolotorofe, administrative director of clinical operations at Bon Secours Health System, provide a primer on the construction of a co-located case management initiative, sharing lessons learned on many program concepts, including:

* Recruitment sources and strategies;

* Preferred background and skill sets of case managers;

* Ensuring the embedded case manager is a fit for the practice, preparing the practice for placement and building a trusting relationship between the case manager and the physician;

* The case manager's role on the physician-led care team.

These industry leaders report that embedded case management results in more efficient and higher quality care coordination of high-risk patients and health plan members who have been diagnosed with chronic illnesses, presented in detailed commentary. Learn more about embedded case management at: www.hin.com/cgi-local/link/news/pl.cgi?essentialsembcasemgmt.

Data Highlights:

Besides the case studies described above, this resource also documents experts' answers to 35 questions on embedded case management including:

* Staffing ratios in a multi-site physician network;

* Functions of the virtual case manager;

* Additional sites for embeded case managers;

* Clinical ladder program;

* Group visits;

* Case management hot-spotters;

* Identifying transition of care patients;

* When to increase caseloads;

* Telemonitoring for heart failure patients;

* Identifying patients for compassionate care;

and more.

Target Audience: CEOs, medical directors, wellness professionals, disease management directors, physician practice leaders, business development and strategic planning directors and consultants.

Report Formats: Print, PDF or Print/PDF combination. To order your copy of this report, please visit: www.hin.com/cgi-local/link/news/pl.cgi?essentialsembcasemgmt.

QUOTE ATTRIBUTABLE TO MELANIE MATTHEWS, HIN EXECUTIVE VP AND COO:

"Both Dr. Krakauer and Irene Zolotorofe deconstruct the process of embedding case managers at the point of care in this timely, valuable resource. Practice-based case management is becoming a fast-growing trend, resulting in efficient, high quality care of high-risk patients and health plan members.

Please contact Cheryl Miller to arrange an interview or to obtain additional quotes.

About the Healthcare Intelligence Network --- HIN is the premier advisory service for executives seeking high-quality strategic information on the business of healthcare. For more information, contact the Healthcare Intelligence Network, PO Box 1442, Wall Township, NJ 07719-1442, (888) 446-3530, fax (732) 449-4463, e-mail info@hin.com, or visit www.hin.com.