Designing and executing a clinical resource management program is not easy. It’s not so much that any one part of the program is difficult to design and implement. Rather, it’s the combination of all the parts that becomes untenable.
When we started this newsletter back in 1994, we reported the difficulties in obtaining information about payer denials. Hospitals simply could not provide actionable information to identify the source of their denials...
When case management was introduced in hospitals in the mid 80s, it was accompanied by a promise to control costs at the bedside.
I had the pleasure to engage Stefani Daniels and Marianne Ramey from Phoenix Medical Management, Inc. to assist with the restructuring of our Case Management Department. Phoenix demonstrated their experience and political sensitivity by memorializing our strategic vision and creating an organized structure, revising job descriptions, identifying measurable outcomes, and putting together an excellent education program for the staff.
With their guidance, we separated the functions of utilization management, created a resource center to perform the tasks related to discharge placement, and redefined the role of the case manager to focus on the progression of care of the patient. Our program has been very successful, and our length of stay was averaging 6.0 days is now averaging 5.3.
I highly recommend Phoenix to provide their expertise and professional approach to evaluating your case management program and implementing significant change with positive outcomes.
Susan Coull, MBA
Director of Operations for the Chief Medical Officer
Temple University Hospital
Philadelphia, PA
The August issue of CRM UPDATE features an article about the Transition Case Manager, a new and evolving role under the case management umbrella. Also in this issue, more about program outcomes. Read it now!

The Leader's Guide to Hospital Case Management
"Thank you for a well organized, detailed, and comprehensive book. I appreciate that you took the time to put your knowledge and experience in writing."
Deonna Villegas-McPetersCommunity Regional Medical CenterFresno, CA