After identifying high risk patients or high users of costly services, a ru
ral community hospital implemented a community-based case management progra
m that yielded positive results not only in cost containment but also in cl
ient-focused outcomes, The implementation of the program is described, as a
re the results of the outcomes measures affecting cognition, activities of
daily living, instrumental activities of daily living, and nutritional risk
, Additionally, use of health care resources and associated cost-savings da
ta are discussed.