What is the primary purpose of case management in healthcare?

Prepare for the HCQM Case Management Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

The primary purpose of case management in healthcare is to coordinate patient care and ensure that patients receive appropriate services. This focus on coordination is crucial because it facilitates a holistic approach to patient care, integrating various healthcare services to meet the individual needs of patients. Case managers work to streamline communication among different providers, ensure that treatment plans are followed, and help patients navigate the complexities of the healthcare system. By doing so, they not only improve health outcomes but also enhance the patient experience, enabling patients to manage their health effectively.

While managing healthcare costs is an important aspect of the broader healthcare system, it is not the primary focus of case management. Similarly, overseeing hospital administration and conducting medical research are roles that may exist in healthcare but do not align with the specific function of case management, which is centered on patient-centered care coordination and service provision. Hence, the definition clearly highlights the significance of facilitating comprehensive care tailored to each patient's unique circumstances.

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