Ran across this term and was wondering what it was. What I found was not what I thought of when I initially read the term. It is not a new term, so lets start with a few (older) definitions:
- The state government of Maine says: “Integrated Case Management (ICM) is a voluntary, family-focused, strength-based program that uses an independent facilitator to bring all relevant people, including providers, family and natural supports, to the table. This team then works in partnership with the family to create a safety-based comprehensive plan addressing the needs of all family members. This model is most useful when the families being served are involved with numerous systems and are not able to access targeted case management.” Associated with this are references to actions being taking in 2002 & 2003.
- Nursing Administration Quarterly has a 1994 article saying it is “an integrated, multisite approach to case management that uses the expertise of social workers, nurses, pastoral counselors, and therapists to develop client-centered plans of care across the continuum of need.“
- Springer Verlag published a 2010 book in association with the Case Management Society of America a book called The Integrated Case Management Manual says “Case managers need to learn and deploy a new set of skills in supporting multimorbid patients. It is essential to assess both medical and mental health issues in a single evaluation and to coordinate appropriate integrated health interventions and treatment planning to achieve effective strategies for safe care.“
- The June 2012 CMSA conference cites a talk on integrated case management which begins with: “Emergency Departments (ED) have become the primary care provider for the uninsured and under- insured, leading to overcrowding and inappropriate utilization of resources with decreased reimbursement. The objective of implementing integrated case management principles is to deliver quality healthcare, and increase medical collaboration and efficiency of available resources while maximizing reimbursement.“
To put this in setting, the common theme is the medical field, and remember that health care is one of the four original case management vertical (along with legal, police/detective, and social).
We are seeing traditional case management, the integration then is an attempt to reach out of the normal boundaries. One example is integrating medical with mental health. Another is integrating emergency room with regular health care. Another is integrating social work, medical work, and other disciplines. Another is integrating across families.
The “integration” in Integrated Case Management refers to integrating people by being more inclusive — and that is no surprise. This is a natural outcome of the advent of information technology, just like Web 2.0 and social technology. We can easily involve people across distances, across disciplines, both inside and outside of organizations. In a nutshell, this is what is driving the case management re-revolution.
What it really highlights is how case management in the past was not integrated. Typically literally a physical file folder which could be held by one person at a time. Information technology should have a resounding effect on that.
Anyone see it differently? Unless someone can point out something I missed, I am going to conclude that “Integrated Case Management” is just Case Management in the hyper-social integrated world of the 21st century.