The Case of the Missing Case

CMSA (Case Management Society of America) defines Case management as  “ . . a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality cost effective outcomes.”

Reading this over, a reasonable expectation might be that the best environment in which to carry out “case management” would be a “case management system”.

In the world of EMRs/EHRs, there are only a few software suites that have their foundation in Adaptive Case Management.

According to the Workflow Management Coalition (WMC)  adaptive case management is “. . information technology that exposes structured and unstructured business information (business data and content) and allows structured (business) and unstructured (social) organizations to execute work (routine and emergent processes) in a secure but transparent manner.”

It’s not clear to a casual reader that ‘structured’ applies to “best practices” in healthcare nor that ‘unstructured’ applies to “ad hoc interventions” in healthcare.

So, healthcare agency staff roaming exhibition halls to pick up information on the “latest” EMR/EHR software is not likely to ask whether a particular product is a “case management  software” system. Asking the question probably would be pointless in any event.

As Alice would say “. . . curiouser and curiouser”.


Management consultant and process control engineer (MSc EE) with a focus on bridging the gap between operations and strategy in the areas of critical infrastructure protection, major crimes case management, healthcare services delivery, and b2b/b2c/b2d transactions. (C) 2010-2021 Karl Walter Keirstead, P. Eng. All rights reserved. The opinions expressed here are those of the author, and are not connected with Jay-Kell Technologies Inc, Civerex Systems Inc. (Canada), Civerex Systems Inc. (USA) or CvX Productions Number of accessing countries 2010-2020 : 168
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