According URAC, the definition of the Patient Centered Health Care Home(PCHCH) is a quality driven, interdisciplinary, clinician-led team approach to delivering and coordinating care that puts patients, family members, and personal caregivers at the center of all decisions concerning the patient’s health and wellness.
  

One of the critical team members of the medical home is the case manager. In order for the patient centered health care home model to develop and become high performing, population based case managers are essential as they fulfill their role of coordinator. Through work experience, case managers have the ability and expertise to work with all members of the team to ensure that care is holistic and meets the individual needs of each patient. The case manager has the expertise to educate and engage the patient and ensure the transition of care is streamlined, efficient and cost effective. 
  

Join us for this groundbreaking webinar as we explore the role, function, competencies and value a case manager brings to the medical home model. If you are a physician contemplating practice transformation or looking for ways to better manage complex patients, or if you are a health plan or an individual case manager who wants to learn more about the dynamic role the medical home will play in transforming the healthcare system, register now for the training session Boosting Outcomes in the Medical Home Through Case Management.

By attending this training session you will learn:
 •How organizations are utilizing case managers to identifying barriers that prevent patient from adhering to care.
•About the outcomes achieved through having a professional case manager in place to transitions patient with complex health conditions to avoid readmissions.
•How the case manager assist the team with access to resources to meet the diverse needs of the patients and their families.
•Why engaging patients to be active participants in their care is essential to preventing readmissions and ultimately containing healthcare costs.
•How with the involvement of a professional case manager proactive management can be put into place to identify early problems that cause setbacks and help to avoid readmissions and improve the quality of care for the patient and the family.
   
About the Webinar
 
According to the 2010 Case Management Society of America Standards of Practice, case managers are recognized experts and vital participants in the care coordination team who empower people to understand and access quality efficient healthcare.
 
The underlying premise of case management is based on the fact that when an individual reaches the optimal level of wellness and functional capability, everyone benefits – from the individual being served to their support system and the various reimbursement sources. Case management services are best offered in a climate that allows direct communication between the case manager, the patient and the members of the team, in order to optimize the best outcome for all concerned.
  
 
By having a case manager in place, the Patient Centered Health Care Home team is able to:
 • Provide comprehensive and individualized access to physical health, behavioral health, and supportive community and social services, ensuring patients receive the right care in the right setting at the right time.
• Utilize population-based tools to support and monitor wellness and care goals for each patient, aimed at preventing illness and improving individual well-being, clinical outcomes and quality of life.
• Empower patients and their families/caregivers to be active participants in their care, through patient-friendly education and informed shared decision-making that is based on cooperation, trust, and respect for each individual’s health care knowledge and health literacy, values, beliefs, and cultural background.
• Ensure accountability for coordinating, providing, and monitoring a patient’s needs, including prevention, wellness, medical and behavioral health treatment, care transitions, and access to social and community services through the creation of an appropriate individual plan of care that meets the needs of the patient and the family.
 
As the Patient Centered Health Care Home approach to primary care continues to expand, the demand for case management expertise will continue to grow. Partnerships between physicians and case managers will thrive, leading to a level of collaboration that, until now, has been notably absent in the primary care setting.