Program evaluation and research methods

Related CCMC Glossary of Terms

Outcome: The result and consequence of a healthcare process. A good outcome is a result that achieves the expected goal. An outcome may be the result of care received or not received. It represents the cumulative effects of one or more processes on a client at a defined point in time. 

Outcome Indicators: Measures of quality and cost of care. Metrics used to examine and evaluate the results of the care delivered. 

Outcomes Management: The use of information and knowledge gained from outcomes monitoring to achieve optimal patient outcomes through improved clinical decision making and service delivery. 

Outcomes Measurement: The systematic, quantitative observation, at a point in time, of outcome indicators.

Outcomes Monitoring: The repeated measurement over time of outcome indicators in a manner that permits causal inferences about what patient characteristics, care processes, and resources produced the observed patient outcomes.

Overview of Case Management Programs Evaluations

Case management programs must be evaluated for effectiveness in reaching the desired outcomes and goals. This is done by collecting, analyzing and reporting data. Two ways to evaluate the effectiveness of the case management program are to conduct surveys and to measure outcomes.

Case Management Outcomes

Clinical outcomes can be measured on categories of patients, such as patients with a specific disease or requiring a particular service (hospitalization, home health), as well as individual cases. The outcomes measured will depend on the setting in which case management is provided.

Examples of outcomes measured include:

  • Percentage of patients readmitted to hospital with in 30 days
  • Percentage of patients adherent to treatment plan
  • Average length of hospital stay
  • Percentage of clients who returned to work
  • Percentage of clients who maintained hemoglobin A1c <9

Case Management Satisfaction Survey

At case closure all patients should be surveyed for satisfaction. The survey must be objective and evaluate the quality and effectiveness of the case management program. The results of the survey give the patients perspective and value of the case management program.