This project evaluates the implementation of a standardized case management framework in an acute care hospital. The primary aim of the project was to reduce the length of stay for patients with congestive heart failure. The purpose of this project was to implement a standardized case management workflow and process to examine the effects on LOS for congestive heart failure patients on a medical unit within the selected health system. Although case management is commonplace in acute care hospitals, there is an ongoing variability across healthcare systems regarding expectations and requirements for the case manager role (Reynolds, 2013). There are no standardized roles, responsibilities, processes, or policies established for case managers working in acute care facilities in the US. The rising costs for healthcare, year over year, in the US presents an ongoing challenge to administrators in healthcare systems nationwide (National Center for Health Statistics, 2020-2021 & AHA, 2022). One of the strategies that has become increasingly prevalent in healthcare is the reliance on case management to oversee various aspects of patient care. This approach ensures that patients are admitted to the appropriate level of care, and smoothly transition between different care settings. Case managers play a critical role in developing effective care plans and ensuring patients receive the prescribed treatments necessary for their recovery. Additionally, they act as advocates for patients, ensuring they have access to necessary services and support during their hospital stay and even after discharge. Observations of the case management department following the implementation of a standardized framework suggest an improvement in communication among case managers, increased job satisfaction, and demonstrated a decrease in redundant processes. Prior to the adoption of the standardized framework, there was ambiguity surrounding role boundaries and expectations associated with the case manager role. Following the framework implementation, case managers were more prepared to approach their care planning for patients with intention and awareness. According to Terra (2007), effective case management can decrease the LOS through the efficient use of services and adherence to evidenced-based standards of care. The process of evaluating the standardized case management framework included monitoring the LOS reports weekly using EPIC. Furthermore, to guarantee the consistent application of the standardized framework, random audits of the workflow and processes were initiated in the second month of the project by the Director for Case Management (see Appendix A). Data was collected using the hospital EPIC database. This database collects information regarding patient’s date of admission and discharge. Reports generated in EPIC provided data pertaining to hospital LOS, unit LOS, as well as LOS for patients with a diagnosis of CHF. Data obtained for this project was evaluated using run charts to analyze and interpret data. By using run charts, LOS data can be monitored over time to detect trends, shifts, or cycles. While the project did not achieve the anticipated reduction in length of stay, case managers reported enhanced understanding of their role, improved departmental collaboration and communication, and increased job satisfaction.