Casemanagement (CM) used in the care of the chroni- cally ill, is described in several ways; targets and interven- tions range from coordinating multidisciplinary therapies with adequate provision of the relevant information to patients and therapist to the assessment of patients’ needs and thus the appropriate interventions. Casemanagement can function as a communication centre for all parties involved, but can also serve as a main contact person (pri- mary nurse) [13-16]. Consequently, CM wants to support the complex information needs of the mostly chronically ill patients taking into account the segmented structure of the health care system . Hence, emphasis is put on support for and activation of self-management in order to enhance health- conscious behaviour, learning to deal with the burden of the illness and providing the opportunity for regular contacts with care providers. This approach is part of the Chronic Care model of the WHO. CM is a colla- borative process adhering to a system, that tries to compile patient needs and resources, goals of rehabilitation, plan- ning and execution of interventions and evaluations in col- laboration with the patient, and, if necessary with their relatives. Considering oncology, CM is successfully applied in the follow-up after therapies and can help to improve the recording of cancer treatments and its symptoms [17,18]. However, a systematic review comprising seven trials found no concluding evidence regarding the effec- tiveness of casemanagement due to differences in inter- ventions and trial endpoints .
Basically, the purpose of CM is to link and optimize qual- ity and cost-effective care in both hospital and community settings . CM is increasingly being regarded as a useful approach for remedying health care system inadequacies [1,11,12]. Definitions and specifications of CM-models are numerous [11,13]. The following is a mainstream def- inition: " [casemanagement] is a collaborative process that assesses, plans, implements, coordinates, monitors, and evalu- ates the options and services required to meet the client's health and human service needs. It is characterized by advocacy, com- munication, and resource management and promotes quality and cost-effective interventions and outcomes." 
Matter Management Systems (MMS) are in effect casemanagement systems marketed for wider use than volume based legal work. By using the word ‘matter’ instead of ‘case’ the distinction has been made by the suppliers and seemingly accepted by the market, that the former is a technology for firm-wide deployment. The LawSoft MMS is made up of a number of key components: -
That we could not find many differences between or- ganisational models may also be related to the fact that or- ganisational differences may not be that large in practice. For instance, the availability of the casemanagement ser- vice from first dementia symptoms does not imply that all informal carers already receive casemanagement in the pre-diagnosis phase. In our study we found that in the two organisational models where the casemanagement service was available from the first symptoms (models 1 and 3), casemanagement actually started in the pre- diagnosis stage in only approximately 25 to 30 % of cases according to the carers. This might mean that the actual differences between organisational models and also the differences between informal carers involved are not very large. However, after one year the percentages of clients without a formal dementia diagnosis have decreased to 13 and 7 %. Hence the population in the four organisational models is largely comparable regarding their cognitive impairment.
substance abusers are not available to homeless people and that new services may need to be created to fill those gaps. For example, Louisville’s Project Connect used casemanagement to help homeless alcoholic and drug abusing men move from a sobering-up shelter (the pretreatment phase of the treatment continuum) through a vocational program at the exit point of treatment (Bonham et al., 1990). Another substance abuse program at the Coatesville Veterans’ Affairs (VA) Medical Center picks up homeless veterans at local shelters, takes them in vans to the VA for day treatment, feeds them, and takes them back to the shelter. This has helped to keep veterans engaged in treatment as they await placement in a VA domicile or other housing arrangement. The Department of Veterans' Affairs conducts stand-downs in its homeless program, during which veterans temporarily housed in tents receive medical services and are assessed for treatment needs. They are brought into residential care for treatment as needed.
Methods/Design: Objectives: General: To develop the first and second phases (theorization and modeling) for designing a multifaceted case-management intervention in people with chronic conditions (COPD and heart failure) and their caregivers. Specific aims: 1) To identify key events in people living with chronic disease and their relation with the Health Care System, from their point of view. 2) To know the coping mechanisms developed by patients and their caregivers along the story with the disease. 3) To know the information processing and its utilization in their interactions with health care providers. 4) To detect potential unmet needs and the ways deployed by patients and their caregivers to resolve them. 5) To obtain a description from patients and caregivers, about their itineraries along the Health Care System, in terms of continuity, accessibility and comprehensiveness of care. 6) To build up a list of promising case-management interventions in patients with Heart Failure and COPD with this information in order to frame it into theoretical models for its reproducibility and conceptualization. 7) To undergo this list to expert judgment to assess its feasibility and pertinence in the Andalusian Health Care. Design: Qualitative research with two phases: For the first five objectives, a qualitative technique with biographic stories will be developed and, for the remaining objectives, an expert consensus through Delphi technique, on the possible interventions yielded from the first phase. The study will be developed in the provinces of Almería, Málaga and Granada in the Southern Spain, from patients included in the Andalusian Health Care Service database with the diagnosis of COPD or Heart Failure, with the collaboration of case manager nurses and general
coordination. Since many members have complex needs that require services across multiple providers and systems, a potential for gaps may occur in the health care delivery system serving these members. These gaps can create barriers to receiving optimal care. CM services are for children and adults with special health care needs, pregnant and postpartum women and persons with developmental disabilities. Our case managers can assist with: Coordination of care
Results—Twenty-five studies from eleven countries focused on adults (24 studies), adolescents (8 studies), and pregnant women (4 studies). Facilitators included community-level factors (i.e. task-shifting, mobile outreach, integrated HIV and primary services, supportive cessation programs for substance users, active referrals, and dedicated casemanagement teams) and individual-level factors (encouragement of peers/family and positive interactions with healthcare providers in transitioning into care). One key barrier for people living with HIV was perceived inability of providers to ensure confidentiality as part of linkage to care interventions. Providers reported difficulties navigating procedures across disparate facilities and having limited resources for linkage to care interventions.
The Utilization Management Program uses the 2013 edition of the McKesson InterQual ® Level of Care Criteria (Acute Pediatric; Acute Adult; Behavioral Health Chemical Dependency & Dual Diagnosis (Adult & Adolescent); Behavioral Health Psychiatry (Adult, Child, Adolescent, Geriatric); Residential and Community-Based Treatment (Adult, Adolescent & Child) as the basis of the inpatient certification process. In addition, the InterQual ® criteria are applied in reviewing the appropriateness of admissions for inpatient rehabilitation services, admissions to skilled nursing facilities, mental health and chemical dependency partial hospitalization, intensive outpatient and ambulatory services and for home health care services. It is the practice of local participating hospitals to utilize the InterQual ® criteria during their internal Utilization Review process. Physicians may review the InterQual® criteria at any participating hospital or by contacting the Director of Utilization/CaseManagement.
Law firm partners and managers will likely agree that whatever the firm can do to improve client service ultimately makes sense for the firm’s bottom line. Yet, they will argue that an investment in casemanagement is not worth the return, especially in the short term. Such thinking may be shortsighted, but it is not without precedent.
enrollee’s primary care provider that she is receiving Family CaseManagement in an effort to avoid duplication of services. Home visiting services rendered by DHS-qualified agencies are eligible to be reimbursed by Medicaid. DHS is able to claim a 50 percent federal match rate for outreach and casemanagement activities “for coordination of medical and medically-related services for the health and well-being of the participant.” Local Family CaseManagement providers are able to submit Medicaid administrative casemanagement (ACM) claims to finance home visiting activities. When a case manager refers mothers or children for specific medical services, Medicaid-enrolled providers bill those services through fee-for-service (FFS). Programmatic expenses not reimbursable by Medicaid are covered using state general funds.
CaseManagement is a feature recently added by most BPM vendors into their products. Using CaseManagement, knowledge workers are able to create, manage, maintain and share a case. The case is a collection of tasks, information, documents and decisions that are made during its lifespan. Instead of a work item flowing through a pre-determined or deterministic process, a case in both PRPC’s Dynamic CaseManagement (DCM) and Oracle BPM’s Adaptive CaseManagement (ACM) can be created to dynamically invoke several different processes, which are managed by a business rule. Individual case workers can invoke sub-cases along the way.
The capacity to meet global SAM needs is dependent on treatment coverage being significantly improved  by addressing barriers to access. Common barriers include lack of awareness of malnutrition services at a community level, high opportunity costs, and distance to treatment services . As a means of improving cover- age of other health interventions, task shifting of ser- vices to community health workers has been explored. For example, integrated Community CaseManagement (iCCM), a strategy to extend casemanagement of child- hood illness beyond health facilities so that more chil- dren have access to lifesaving treatments, has shown high treatment coverage and high quality care rates for sick children under five [11, 12]. The iCCM package differs across different contexts, but most commonly include diarrhoea, pneumonia and malaria interventions. The iCCM package also included the identification and referral of children with SAM by CHWs but does not currently include treatment of SAM at a community level .
Member, Society for Human Resource Management; Human Resource Management Association of Greensboro; Charlotte Area Society for Human Resource Management; CaseManagement Society of America, Member National Association, Managed Care Special Interest Group, Charlotte, North Carolina Chapter, Former Board Member, Greensboro, North Carolina; Academy of Certified Case Managers.
VI. RATIONALE: The Quality Management team provides training, technical assistance, and needed information and feedback from case reviews to the CaseManagement Organizations in order for them to have the necessary information and support to effectively and efficiently provide safety, permanency and well- being for dependent children and their families.
2. CASEMANAGEMENT (Felony): At CaseManagement the Judge make sure that the case keeps moving by inquiring whether we received documents such as Discovery, Score Sheet and Plea Offer from the State Attorney’s Office, whether we plan on filing any motions or deposing any witnesses and setting the timetables and coordinating schedules for doing so. The Court may also accepts pleas at CaseManagement.
For the month of February the Mental Health CaseManagement program had a total caseload of 336 with 19 admissions and 5 discharges or transfers. The average caseload for a case manager is approximately 34 individuals. For the month of February there were 10 NGRI (not guilty by reason of insanity) clients on conditional release in the community.