Public Sector > Social Services and Social Security > Social Case Management

Social Case Management

Business Scenario

 


Key Performance Indicators

  • Cases per FTE
  • Partner Opportunities

  • Partner Opportunities in Public Sector
  • See also

  • Scenario and Process Component List

  • All aspects of delivering services and benefits  to meet the client’s or provider's needs. Social Case Management involves a set of predetermined processes and functions that apply throughout  the lifespan of a case. The way in which these processes are implemented can vary according to the case, but the underlying  tools, principles and procedures remain the same.

    Business Goals & Objectives


    Improving Regulatory Compliance

    Improve auditability of information and actions

    Increase Speed & Efficiency

    Automate - eliminate errors due to manual processes

    Increasing Security

    Improve document control, integrity and retention

    Increasing Transparency & Accountability

    Improve transparency and auditability of activities
    Provide decision support

    Reducing Operating Costs & Increasing Efficiency

    Improve productivity of agents

     



    Business Processes

    Master Repository for CasesSAP Component or Feature Available

    A case is a specific instance relating a client/employer/service provider to a given program or set of programs. There are several types of cases, such as Single Program Case and Integrated Case of all (benefit) Programs for a given client (or a household).

    In addition, there may be cases created for other purposes: example: Appeal Case for issues on the core  case, a foster care case, or a child support enforcement court case case.

    The repository is a master database containing  the case-specific information for all  the  types and subsets of cases for all of the programs supported by the social services system. The capability to interrelate cases is necessary (e.g. Appeal Case to Benefits Case being appealed).

    SAP Component or Feature Available Case types, case categorization and case hierarchy
    SAP Component or Feature Available Case notes
    SAP Component or Feature Available Enhancements to case categorization (additional metadata, references, transport & merge of categrories)
    SAP Component or Feature Available Case import & export for transport between social departments
    SAP Component or Feature Available Case closure process/check list
    SAP Component or Feature Available (Re)-assignment of cases and. authorization control
    SAP Component or Feature Available Case archiving
    SAP Product Available with Future Releases Documentation of events and activities
    SAP Component or Feature Available Visualisation of case interrelations
    SAP Product Available with Future Releases "Light"-version of case representation for external case management systems
    Future Focus Predefined case types for single-program case and integrated case
    Future Focus De-Identification of Cases

    This process is supported by the following SAP and/or partner offerings

  • SAP NetWeaver Exchange Infrastructure (SAP XI)
  • SAP Social Services Management for Public Sector
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    Activity ManagementSAP Component or Feature Available

    Tracking and controling of the status, workflow and subsequent actions of all activities as they move through the organizational system and it's processes. 

    SAP Component or Feature Available Definition & monitoring of tasks and activities
    SAP Component or Feature Available Predefined work processes
    SAP Product Available with Future Releases Definition of follow-up tasks/alerts/notifications based on events subscription mechanism
    SAP Product Available with Future Releases Automatic re-assignment of a case to responsible staff member

    This process is supported by the following SAP and/or partner offerings

  • SAP Social Services Management for Public Sector
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    Records and Document ManagementSAP Component or Feature Available

    The ongoing  process of acquiring, storing, and maintaining relevant information related to the case of an individual client or household, and making the data available to authorized users. Managing the documents integrated within the case management system.

    SAP Component or Feature Available Management of documents in a structured case-record
    SAP Component or Feature Available Assignment of transactional system documents to the case

    This process is supported by the following SAP and/or partner offerings

  • SAP Social Services Management for Public Sector
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    ValidationSAP Component or Feature Available

    The confirmation of the information/verification gathered from the client(s) or prospective provider during the Intake phase.Validating changes and information provided to an ongoing case. Validation may focus on confirmation of a customer’s income and assets or a providers license.  

    SAP Component or Feature Available Assignment of documents to case via a structured record
    SAP Component or Feature Available Case status management to control validation
    SAP Component or Feature Available Case notes for documentation purpose

    This process is supported by the following SAP and/or partner offerings

  • SAP Social Services Management for Public Sector
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    Benefit and Service Eligiblity DeterminationSAP Product Available with Future Releases

    Due to the different types of benefits and service programs in the Social Services/Social  Security arena, there are many ways of implementing service delivery.

    A group of tasks are combined into a service plan, (alos known as a case plan), for an individual or household. The case plan is a yardstick to define the desired outcome for the client, and to measure progress on  the clients part.

    SAP Product Available with Future Releases Rule-based eligibility Determination
    SAP Product Available with Future Releases Eligibility Protocol
    SAP Product Available with Future Releases Execution of eligibilty rules
    SAP Product Available with Future Releases Automatic determination of benefits & services
    Future Focus Ability for cross-scanning existing ongoing programm eligibility (e.g. for detecting conflicting benefits)

    This process is supported by the following SAP and/or partner offerings

  • SAP Social Services Management for Public Sector
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    Benefit and Service Delivery/Service PlanSAP Product Available with Future Releases

    This is the phase where the worker applies all the  information gathered from application registration process in order to determine eligibility. This includes the intake interview and screening process which the information is then validated against the program(s) rules. When the actual delivery of benefits and/or services occurs, they are  defined in a service plan (aka case plan) for the client. Depending on the type and level of benefits and services, different ways of delivering them are required. 

    SAP Component or Feature Available Standard service plan
    SAP Product Available with Future Releases Service plan customized for social service purposes
    SAP Product Available with Future Releases Check of existing service plan item against eligibility rules
    SAP Product Available with Future Releases Automatic creation/assignment of service plan triggered by application process
    SAP Product Available with Future Releases Authorization control based on organizational assignment
    Future Focus Automatic update of Service Plan with eligibility results
     
    Recertification & Outcome ManagementSAP Component or Feature Available

    The process mandated by law which reviews as case  still meets eligibility and service delivery requirements. The confirmation between the Social Services Agency and the client that all aspects of the case plan are being met.

    Recertification is ased on individual or household cases, and ensures that the benefits and services being delivered to clients and providers achieves the desired outcome.

    SAP Component or Feature Available Activity Management
    SAP Component or Feature Available Measurement of Benefit and Service Delivery

    This process is supported by the following SAP and/or partner offerings

  • SAP Social Services Management for Public Sector
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    CommunicationSAP Product Available with Future Releases

    Case related communications will facilitate the sharing of information with both external and internal customers. Various means of communication will be supported, e.g. mail, e-mail, browser/web, and telephone. Preferred method of communication can be specified. Communications can be one of a variety of choices: from “pre-defined/canned notifications”, to forms/templates with “fill-in the blanks”, to free-form. Combinations of single or multiple communications into one “physical” communication to be transmitted/mailed are supported. Customer notices will be produced in multiple languages, e.g. English and Spanish.

     
    Change of CircumstanceFuture Focus

    The notification to the organization of changes to a client’s situation that may impact eligibility for services, funding, or entitlements.

    SAP Product Available with Future Releases Registration offollow-up activities for defined business events
    Future Focus Data transfer from change notification to Business Partner record
    Future Focus Predefined change notification & process
     
    Appeals MonitoringSAP Component or Feature Available

    The activities involved in tracking the status of all appeals as they move through the organization, including their eventual resolution and  required follow-up activities. This is in addition to any monitoring that would  occur at  case management level.

    SAP Component or Feature Available Activitiy Management

    This process is supported by the following SAP and/or partner offerings

  • SAP Social Services Management for Public Sector
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    Case SupervisionSAP Component or Feature Available

    The monitoring of case work by a supervisor. This could include assigning agents to a case, and ensuring that issues are being identified and elevated to the appropriate level of responsibility and authority as needed.

    SAP Component or Feature Available Manual assignment of staff member to case
    SAP Component or Feature Available Automatic assignment of staff members to case based on defined rules
    SAP Component or Feature Available List of overdue tasks
    SAP Component or Feature Available Notification of supervisor about overdue tasks
    Future Focus Caseload overview for supervisor

    This process is supported by the following SAP and/or partner offerings

  • SAP Social Services Management for Public Sector
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    SAP Product Available Partner Product Available SAP Product Available with Future Releases Partner Product Available with Future Releases Future Focus