PP104 – RN and SW Care Managers Professional Ladder Development
The inpatient and outpatient Case Management (CM) team consisting of Registered Nurse and Social Worker Care Managers, have a unique, challenging role guiding patients to optimum health outcomes while overseeing cost effective, quality care across the healthcare continuum. Their role impacts hospital length of stay (LOS), readmission rates, patient satisfaction, and quality outcomes. Leaders from both our inpatient and outpatient CM teams wished to strengthen relationships among the staff to promote care across the continuum. The leadership team developed a shared CM Professional Ladder (PL) for the combined CM staff and obtained approval for monetary compensation. Additionally, leadership desired outcomes that promoted a sense of CM empowerment, validation, competence, and commitment. CM PL effectiveness is evident in building leaders and mentors, promoting care across the continuum, improving outcomes, and retaining competent staff only when the CM professionals see value in the ladder and are willing to participate. A survey was done prior to implementation of the ladder to assess staff’s perceptions and interest in the ladder. The survey was completed by 34 of the 70 staff members, with 14 expressing interest in applying for a level II position of the PL within the first six months and a quarter of the staff by the end of year two. The staff that responded to the survey had a positive perspective on the benefit of the PL for them and the organization. Fifty-nine percent believe the PL will improve job satisfaction. After the fundamental work was completed, the CM PL program was initiated in July 2019. Thirty-seven CMs attended the inaugural PL classes, with the first applications being accepted September 15, 2019. In addition to conducting a post CM staff survey on perception of effectiveness of the PL, leadership will compare pre/post patient outcome data: LOS, readmission rates, patient satisfaction scores, quality measures, and CM retention rates.