We have 66 case managers, who are carrying on average 70 cases per person. It is a difficult workload for them, so we need to examine how we can make sure that they are able to provide, from a case management perspective, for the care that our personnel need. We are able to prioritize the people who have the most complex care needs to the top of the list; they're able to see a case manager within seven days of a referral from their primary care provider.
We're also looking at things such as how to redo their work. For example, instead of doing individual sessions with some people, they're able to do group sessions for people who require case management education.
We're also looking at the integration of case management between our case managers and Veterans Affairs', to try to share the load as we look at transitioning patients.