A Case for Integrated Case Management: A Budget Neutral Model

Mark Gwynne, D.O., President and Executive Medical Director, Robert Malone, Pharm.D., CPP, Chief Operating Officer, and Stephanie Turner, R.N., FNP-BC, CHCQM, Director, Population Health Clinical Services, UNC Health Alliance Case management services, long recognized as a key component to patient-centered care, are also evolving as the healthcare industry shifts to value-based care. In this case study, presenters from North Carolina’s UNC Health Alliance will explain how a team of more the 100 RNs, LCSWs, RD/CDEs, and CMAs have nimbly adapted from siloed work to a successfully integrated, interdisciplinary, budget-neutral model. Participants will learn about the critical elements when implementing an integrated case management model—including staffing ratios, funding, and management structure—and how to establish meaningful ROI key performance indicators. Upon completion of this activity, participants should be able to: • Identify the vital component interdisciplinary care teams play in population health management • Describe how to implement an integrated case management model, including staffing ratios, funding and management structure • Establish meaningful ROI key performance indicators to measure outcomes