Care management and care coordination is a growing field in long-term care, particularly at the interface of long-term care, acute care, and home care. The questions of how care managers are being used, how they are educated for their work, and how they interact with other members of the health care team are largely unanswered.

The study was conducted in partnership with George Washington University.

This project aims to answer these questions:

• What are the disciplines represented in care management teams and the role, job titles, and functions of each member of the team?
• What are the organizational structures, reporting relationships, and communications between care management team members (nurses, physicians, social workers, pharmacists, rehabilitation therapists and non-licensed workers such as medical assistants and community health workers); what are the communication and referrals processes across the delivery system?
• What are the requirements for outcome measures to assess the effectiveness of care management required by payers?

For more information, contact [email protected].