Productivity...groan

CseMgr1, ASN, RN · Jul 28, 2006

Does anyone in case management or in particular disease management have to meet productivity "numbers?" As in how many assessments per week, contact with members per week, etc...
My manager is completed focused on numbers and doesn't give a hoot about quality in the least.
As a nurse, I feel like my focus has shifted to a factory type job, having to produce so many license plates a day.
I was just wondering if I am just being naive, and these numbers are so particularly important, or is HEDIS outcomes and quality of the contact more important?

I know exactly what you are talking about. I quit my job last year working for an HMO because it had too, turned into a sweatshop and the focus was no longer on quality and had shifted to quantity. Unfortunately most companies these days have their eyes on the bottom line, and it doesn't take a rocket scientist to figure out why the quality of their products has gone to hell in a handbasket, in the process. Sad, but true.

renerian, BSN, RN · Aug 2, 2006

Hoolahan,

I was glad to see your post and am sorry I am late in a reply. I have been busy with work and we are moving this month.

Yes in DM I have productivity. I have a high load but still so far unless things get nutzo can keep up.

I still love my job and number crunching seems to be a big part.

renerian

CseMgr1, ASN, RN · Aug 25, 2006

Does anyone in case management or in particular disease management have to meet productivity "numbers?" As in how many assessments per week, contact with members per week, etc...
My manager is completed focused on numbers and doesn't give a hoot about quality in the least.
As a nurse, I feel like my focus has shifted to a factory type job, having to produce so many license plates a day.
I was just wondering if I am just being naive, and these numbers are so particularly important, or is HEDIS outcomes and quality of the contact more important?

Just ask the Manager of a TCM company who fired me today after I had been there only three weeks and right in the middle of my training that same question. According to him, I was supposed to be doing 25-30 cases a day, despite being told by other CM's that 14 is the most they are able to complete. Funny thing is, I wasn't informed of the productivity standards until two days ago. This morning I get a phone call from the Agency who put me in this job, telling me the Manager was letting me go. And where was he? At a meeting off site. :angryfire

The jerk didn't even have the gumption to fire me in person, so he did it in absentia. Totally classless. :trout:

CaseManager1947 · Aug 27, 2006

I work in Hospital based case management, and we have a new CNO who has instituted a "grade card" for all of us. We are responsible for doing insurance concurrent reviews, so any days denied for not doing those go on the grade card. We have to do high claims reports weekly, those with bills over $75,000 we have to justify why they can't be moved on to another level of care (no pay source, no facility to accept, still too sick, etc.). Failure to do these goes on grade card. well u get the idea. Someone constantly looking over our shoulders! Oh well, at least I have a job.

Jones rn · May 5, 2011

If anyone has a productivity "standard" or will share information as to how your case management productivity is measured, please respond.

To the person who was told to complete 25 per day, I don't see how that can happen or even 14per day. Outreaches yes, but not a complete assessment of GRQ and initiation of a case plan.

juschillin, MSN, RN, NP · May 25, 2011

I read the post and replies with much chagrin--I feel jaded by many of my past nursing "endeavors"...healthcare, ie nursing in particular, is just a tough business. I am now finally and officially back to the job market after taking out 1 1/2 years to care for my mom with Alzheimer's. I so want to return to work as a nurse, but fear being in the heat of the kitchen yet again. I read some posts about nurses saying how they feel they have given so much to their jobs/patients without feeling really rewarded. This happens so easily--I think nursing work just gets tougher and tougher.