Determinants of client termination in hospital-based case management programs

F. E. Netting, L. H. Warrick, J. B. Christianson, F. G. Williams

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Increasing attention is being focused on hospital-based programs that address the needs of the frail elderly. This article reports results from a demonstration of hospital-based case management (HBCC). Baseline, 3-, 6-, and 12-month assessment data are analyzed to determine why clients terminated from HBCC programs. Subsamples of community- and hospital-originated clients are examined to determine what factors predict case management termination. About half of both hospital- and community-originated clients left case management within 12 months because of death, nursing home placement, referral to another case management agency, relocation out of the service area, or discharge as self-sufficient. Hospital-originated clients were more likely to die within the first 6 months after entering case management than were community-originated clients. Cognitive and functional abilities were important predictors of termination status.

Original languageEnglish (US)
Pages (from-to)74-80
Number of pages7
JournalJournal of case management
Issue number2
StatePublished - Jan 1 1994


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