Skip to main content
Log in

Case Management

Transforming to Meet the Demands of an Evolving Healthcare System

  • Leading Article
  • Published:
Disease Management and Health Outcomes

Abstract

Case management is an evolving healthcare process and role. Confusion about the definition and scope of case management has arisen because of the diversity of ways the role has been implemented and the changing healthcare landscape within which case managers function. From its early heritage in coordination of care and advocacy for the vulnerable, case management developed to meet the demands of a growing and changing health system. The focus on the individual has expanded to encompass management of the patient and the system of care. The advent of managed care has transformed the role of the case manager toward population- and outcome-based care. The next era will focus on longitudinal, comprehensive and integrated Wellness, disease and illness management.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Murer CG, Brink LL. The case management sourcebook: a guide to designing and implementing a centralized case management system. New York (NY): McGraw-Hill, 1997

    Google Scholar 

  2. Thornicroft G. The concept of case management for long-term mental illness. Int Rev Psychiatry 1991; 3: 125–32

    Article  Google Scholar 

  3. Williams DB. Case management 2000. Nurs Case Manage 1998; 3: 183

    CAS  Google Scholar 

  4. Lee DTF, Mackenzie AE, Dudley-Brown S, et al. Case management: a review of the definitions and practices. J Advanced Nurs 1998; 27: 933–9

    Article  CAS  Google Scholar 

  5. Newell M. Using nursing case management to improve health outcomes. Gaithersburg (MD): Aspen Publishers, Inc., 1996

    Google Scholar 

  6. Geary CR, Smeltzer CH. Case management: past, present, and future — the drivers of change. J Nurs Care Qual 1997; 12(1): 9–19

    Article  PubMed  CAS  Google Scholar 

  7. Cohen EL, Cesta TG. Nursing case management: from concept to evaluation. St. Louis (MO): Mosby-Year Book, Inc., 1997

    Google Scholar 

  8. Center for Case Management Accountability. A framework for case management accountability. Rolling Meadows (IL): Case Management Society of America, 1997

    Google Scholar 

  9. Kastens JM. Integrated care management: aligning medical call centers and nurse triage services. Nurs Econ 1998; 16: 320–2

    PubMed  CAS  Google Scholar 

  10. Bower K. Case management designed for the care continuum. In: Zander K, editor. Managing outcomes through collaborative care: the application of CareMapping and case management. Chicago (IL): American Hospital Publishing, Inc., 1995: 165–76

    Google Scholar 

  11. Evashwick C. Seamless connections: refocusing your organization to create a seamless continuum of care. Chicago (IL): American Hospital Publishing, Inc., 1997

    Google Scholar 

  12. Wojner AW. Outcomes management: An interdisciplinary search for best practice. AACN Clin Issues 1996; 7: 133–45

    Article  PubMed  CAS  Google Scholar 

  13. Weiss ME. Case management as a tool for clinical integration. Advanced Pract Nurs Q 1998; 4(1): 9–15

    CAS  Google Scholar 

  14. Roughan J. Case management: from outside to inside the care process. J Care Manage 1997; 3(6): 37–8, 41

    Google Scholar 

  15. Hill M. The development of care management systems to achieve clinical integration. Advanced Pract Nurs Q 1998; 4(1): 33–9

    CAS  Google Scholar 

  16. Dees JR, Anderson, NL. A management system for quality and cost effective outcomes. AAOHN J 1996; 44: 385–90

    PubMed  CAS  Google Scholar 

  17. Kane RA, Penrod JD, Kivnick HQ. Case managers discuss ethics. J Case Manage 1994; 3(1): 3–12

    CAS  Google Scholar 

  18. Raiff N, Shore B. Advanced case management: new strategies for the nineties. Newbury Park (CA): Sage Publications, Inc., 1993

    Google Scholar 

  19. Evashwick CJ, Weiss LJ. Managing the continuum of care. Rockville (MD): Aspen Publishers, Inc., 1987

    Google Scholar 

  20. Conger M. Integration of acute care CNS and case manager roles. Crit Care Nurs Clin North Am 1998; 10(1): 127–34

    PubMed  CAS  Google Scholar 

  21. Houston S, Luquire R. Advances practice nurse as outcomes manager. Advanced Pract Nurs Q 1997; 3(2): 1–9

    CAS  Google Scholar 

  22. Bushy A. Case management: considerations for coordinating quality services in rural communities. J Nurs Care Qual 1997; 12: 26–35

    Article  PubMed  CAS  Google Scholar 

  23. Llewellyn A, Moreo K. Transitioning from basic to advanced case management. Nurs Case Manage 1998; 3: 63–6

    CAS  Google Scholar 

  24. Jamison M. Chronic illness management in the year 2005. Nurs Econ 1998; 16: 246–53

    PubMed  CAS  Google Scholar 

  25. Richmond TS, Keane A. Acute care nurse practitioners. In: Hickey JV, Ouimette RM, Venegoni SL, editors. Advanced practice nursing: changing roles and clinical applications. Philadelphia (PA): Lippincott, 1996: 316–26

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marianne E. Weiss.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Weiss, M.E. Case Management. Dis-Manage-Health-Outcomes 6, 253–260 (1999). https://doi.org/10.2165/00115677-199906050-00002

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2165/00115677-199906050-00002

Keywords

Navigation