Medical case management
Case Manager, German case manager, is a young profession in the social and health services, which originates from the health care system of the United States. The position is occupied mainly by social workers and nurses who act in the interest of clients to ensure consistent treatment across sectors, disciplines and professional competencies of time. Case management or case management is used in hospitals, rehabilitation facilities, nursing homes and health insurance.
The "Case Manager" not only manages interfaces between doctors, nurses or therapists, but also for medicine Controlling and IT departments, social services and the nachstationären care and social support services. Case managers accompany clients during the entire treatment.
The control of the individual case in the hospital now meets traditional concepts with a telephone vote. A coordination across departments is often not take place. Lack of coordination should no longer afford hospitals. You get the cost per case replaces only a flat rate and not on the number of bed days, but rarely exert influence on the coordination of the event in their own area of responsibility from.
Case managers ensure basically that at the end of the hospital stay, all information is provided for further therapy and agree the planned treatment with the case manager from the insurance. Case manager is to link integrated inpatient and outpatient treatment. However, they usually fail in their own company due to lack of availability of information.
Theoretically, dovetail case manager the entire networked medical treatment chain. Accordingly, they are familiar with the processes between the patient, doctor, hospital, rehabilitation, health insurance and other auxiliary equipment from the best.
Today, the Case Management is usually limited to individual diseases, which account for the lion's share of the cost. Case managers work in hospitals or rehabilitation facilities, future possibly also for health insurance.
An education in the care sector or to study medicine / social work degree is required as well as several years of experience.
Case manager is not a protected occupational title. There is no policy or training examination regulations. Private colleges and public universities offer part-time courses, the University of Applied Sciences Potsdam, for example.
The starting salary is between 30,000 and 35,000 euros. The content varies between private and public employers and depends on the training.
Definition
According to a definition of " Case Management Society of America " Case management describes a " collaborative process of assessment, planning, assistance and legal representation " ( assessment, planning, facilititation, and advocacy ) of patients with the aim of " the health needs of an individual by to meet communication and provision of resources and high-quality, cost- treatment to ensure success. " The German term case management generally refers to any kind of organized flowchart needs-based assistance in the field of social work.
History
The idea of case management was established around 1990 in the USA out mainly from legal considerations. After numerous medical processes had led to no agreement is reached, the Federal Court created ( Federal Court ) an Assisted Dispute Resolution Program, which allowed judges to consult a mediator. 1991, this scheme was also adopted by the Federal Court of Australia.
Followed in 2006 in Germany, the establishment of the " German Society for Care and Case Management ". The registered association promotes the use and development of Care and Case Management
- In social services,
- In health care,
- In nursing,
- In Insurance and
- To promote employment.
Here, the focus is mainly on:
- The training of case managers
- The cooperation of educational institutions
- Content development of Care and Case Management
- Regular, specialized experience through conferences, congresses and symposia
- The development and deepening of evaluation
- Research on Care and Case Management