The CMS efficiency measure has once again raised the issues of length of stay management and cost reduction. These have always been a component of the role of the hospital-based case manager. In today's best practice models, these interventions must be correlated with the roles of coordination and facilitation of care, discharge planning and utilization management. The case manager's roles and functions, as well as staffing ratios, must be designed in such a way as to allow for this integration of roles. Be sure that your department is focusing on how to embed this important function in your everyday practice!
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