ESTABLISHING AN OBSTETRIC CASE-MANAGEMENT MODEL

The challenge of health care reform is driving the development of new and innovative solutions to the question of how to provide quality, co st-effective care that is satisfying to patients. Case management offe rs an opportunity to facilitate a childbearing experience for the pati ent and family that meets these goals. This article describes the deve lopment and implementation of an obstetric case management pilot proje ct in a large academic medical center and the lessons learned in the f irst year of operation. The design of the pilot program is presented. Patient education and care coordination were the case management activ ities most valued by patients and physicians alike. Initial strategic planning for the second year of operation is also presented.