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Research ArticleOriginal Article

Intensive Case Management of High-Risk Patients in a Family Medicine Residency Setting

Stephen G. Friedhoff
The Journal of the American Board of Family Practice July 1999, 12 (4) 264-269; DOI: https://doi.org/10.3122/jabfm.12.4.264
Stephen G. Friedhoff
From the Family Practice Residency Program, Memorial Hospital of Burlington County, Mount Holly, NJ. Address reprint requests to Stephen Friedhoff, MD, Memorial Hospital of Burlington County Family Medicine Residency Program, 175 Madison Ave, Mount Holly, NJ, 08060
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Abstract

Background: As the health care system evolves, health care delivery systems have begun to share risk for the care of patient populations. The prototype for such a system has long been the uncompensated care population in a hospital's service area. This article describes a successful case management pilot program in a family medicine residency setting.

Methods: Nineteen high-risk patients were cared for by a case management team for a period of 3 to 4 months. The case management team consisted of a medical director, 2 resident assistant medical directors, 1 registered nurse case manager, and 1 social worker.

Results: Case management resulted in an annualized decrease of 51 percent of inpatient days and 46 percent of charges. This resulted in an annualized savings of $166,083 in charges to the health care system.

Conclusion: Intensive case management of the sickest of the sick results in a substantial reduction in morbidity and cost. Family medicine residency programs are ideally situated to oversee case management of this population and potentially other populations in a shared-risk environment.

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The Journal of the American Board of Family     Practice: 12 (4)
The Journal of the American Board of Family Practice
Vol. 12, Issue 4
1 Jul 1999
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Intensive Case Management of High-Risk Patients in a Family Medicine Residency Setting
Stephen G. Friedhoff
The Journal of the American Board of Family Practice Jul 1999, 12 (4) 264-269; DOI: 10.3122/jabfm.12.4.264

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Intensive Case Management of High-Risk Patients in a Family Medicine Residency Setting
Stephen G. Friedhoff
The Journal of the American Board of Family Practice Jul 1999, 12 (4) 264-269; DOI: 10.3122/jabfm.12.4.264
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