HIPPA, which was passed in 1996, helped standardize privacy and security for health information in the United States. It is essential to keep patients safe, and recognize the care that patients need as they develop new health needs.

It is important to manage your medical practice in order to comply with HIPPA guidelines. This can be made easier by case management software.

What is case management software? It is essential for medical professionals to use it in order to track patient data.

Continue reading to learn more about this software and why it is so important in the medical world.

What is Case Management?

The act of processing information and data relevant to solving a case is called case management. It’s simply the act of managing, tracking, storing, and organizing client data in one place.

Case management coordinates all healthcare services. Every person involved in the case will be able to see what’s happening with the client or patient.

Role of the Case Manager in Medical Case Management

is the person responsible for processing, tracking and managing all information in a case.

These professionals can be found in many different types of work environments. They work in hospitals, outpatient care centres, and insurance companies.

They will be responsible for specific patient cases and will have a caseload to keep them busy. They are responsible for keeping all patient data and health information (PHI), secure in the patient’s case file.

While some physicians may practice case management while on the job, they might not be the patient’s case manager. Multiple healthcare professionals may have access to patient data in order to update or modify it. However, the case manager is responsible for keeping everything organized and processed within the file so that patients can easily access them.

Nursing case managers will often follow up with their patients to make sure they receive the care and rehabilitation that they need. Social work case managers can help clients and their families access services and resources.

A case manager can wear many hats but the primary goal is to provide the client or patient with the services they need for their happy and healthy lives.

Do Case Managers Need Certification?

Professional case managers should be aware of case management certifications if they are interested in working in the medical field.

You must have at least 30% experience as a case manager to be eligible for the exam. A current, active license in the field of health or human services is required.

CCM exams require that a person has a bachelor’s degree or higher in nursing, social work, or another health field.

This certification is only for those who want to become a medical case manager. Other case managers such as those working for government agencies or non-profits will require different requirements.

What is Case Management Software?

Software for case management makes it simple to collect and store information in one place. A case manager does not need to print out documents, paperwork, or medical history. Instead, they can access all the information digitally.

This is not only more environmentally friendly but also makes it much easier to track and modify case information as necessary.

It’s also easier to encrypt and lock documents on a computer system than it is with in-person storage.

Adaptive Case Management vs. Dynamic Case Management vs. Adaptive Case Management

Both adaptive and dynamic case management is very similar. These two types of case management systems let the user (the case manager) take control, but allow the system to assist in determining the best workflow.

Adaptive Case Management looks at the case history of the previous case manager to determine the workflow. Dynamic case management examines the events as they happen to determine if there are any changes to the workflow.

Although a case manager has the power to modify the workflow, these systems make it a lot easier.

What are the key features to look for in case management software?

It is essential that you find case management software that suits the needs of your agency. This includes communication, tracking, and reporting.

While there are many case management software options, some have additional features that may be useful for case managers. However, the core of the software should always be the focus. These are some of the key features to be aware of:

  • Do you receive ongoing support from your provider?
  • Can the software evolve with the company?
  • Are there any alerts that notify you of deadlines and due dates?
  • Is the system customizable to meet the needs of your case managers?
  • Minor changes are possible without speaking with the provider
  • Is it easy to use?

It is also important to think about specific populations that you might work within healthcare. Software for aged care will, for example, have its own requirements and require features that can help with the care.

It is important to consider the needs of your agency before you make a decision about software.

Select the right case management software for healthcare work

Answering the questions “What is case management software?” or “Why is case management important?” is now complete. Next, you need to find case management software that will help you improve your patient care.

Case management software is a key investment in your healthcare agency’s security and patient care.

Have you enjoyed reading about case management on this blog? You might also enjoy other posts in the healthcare section.