Use of a Case Management Model to Enhance Patient Outcomes

Comprehensive patient management is a must in today’s complex wound environment. A Case Management Model was implemented to meet the needs of a large outpatient wound clinic. This wound clinic’s volume of 1100 visits per month consists of patients with various wound types and medical complexities. To effectively manage all aspects of the patient, including social, environmental, economic, and physical limitations, all of which influence wound healing, a Case Management Model was developed.  This model pairs one of the 14 physicians with a wound care specialist/ case manager who work collaboratively with the wound care team and other specialists to navigate the patients’ care. The primary objective of the Case Management Model is to coordinate all care related to the wound and/or present issues. The case manager is responsible for providing direction to the supporting clinic staff and assuring that appropriate patient education and follow up is provided. Case managers provide support to meet the individualized goals of each patient. They act as an extension of the physician, coordinating care and exchanging key clinical information among providers to insure quality care. This close liaison with the physician allows for adjustments to treatment plans, preoperative planning and education, facilitation of diagnostics and prompt responses to patients’ needs and concerns. The Case Management Model promotes continuity by partnering with patients and families to ensure they receive fully integrated care that addresses their unique emotional, physical and psychological needs.  This personalized support provides a clear line of communication between the patients and healthcare team to promote a positive patient experience.