Basics of Case Management Boot Camp, Five-Part Series
October 12 @ 12:00 pm - 1:30 pm MDT$425
Tues., October 12 | Tues., October 19 | Tues., October 26 | Tues., November 2 | Tues., November 9
Due to COVID-19, the registration fee is per individual hospital (not system) for this webinar series. A single registration provides multiple lines for employees at your hospital, including a link to view the recording for 60 days post-webinar. Please only select a qty. of “1” under Registration and indicate the number of connections requested for your hospital when completing the Attendee information. The person completing the registration will be responsible for sharing the access information with others from your hospital who wish to participate.
The world of healthcare is changing rapidly and so is the role of case management in that world! Whether you are reading or hearing about value-based reimbursement, the Affordable Care Act, the continuum of care, bundled payments, transitions in care, or accountable care organizations, case management is at the center of it all!
Because things are changing so rapidly it can be a challenge to stay current and knowledgeable in the issues that most greatly impact your role as a case manager. Reimbursement has changed dramatically as has utilization management, transitional planning, and length of stay management. CMS has incorporated changes that impact on payments related to readmissions, length of stay and the cost of care. Who is in a better place to address these issues than case managers! Finally, how do all these roles come together in a cohesive way that meets the needs of your department and your organization?
All these topics and more will be covered in this jam-packed five-part series. The program will start with some of the fundamental issues pertinent to case managers, including reimbursement systems, the history of case management, and common trends in the field. We will then review the three most imperative roles for acute case managers. We will start with a discussion of utilization management, including rules, regulations, and strategies for incorporating utilization into your daily routine.
Webinar 3 will provide insights and up to date information on discharge planning including new rules instituted in 2020.
Webinar 4 will provide an in-depth review of care coordination, a vital, but often forgotten role for hospital case managers.
We will end our series with a discussion of how to integrate the roles and functions we have reviewed as well as a comparison of two state of the art case management models. You will learn about the complimentary, but separate roles of RN case managers and social work case managers.
Whether you are new to case management or a seasoned pro, this webinar series will provide you with the latest and most up-to-date topics and information that you will need to be at the top of your game and produce the best outcomes for you, your patients, and your organization.
At the conclusion of these sessions, participants should be able to:
- Understand the history of case management
- Review how case management fits into today’s healthcare system
- Discuss the ways in which case management is a strategy for managing cost and quality under the latest CMS reimbursement models
- Describe the differences between utilization review and utilization management
- Discuss the best strategies for managing utilization reviews and other issues relate to utilization management
- Identify ways in which a strong utilization management process can reduce payment denials
- Understand discharge planning as a process not an outcome
- Discuss the new CMS changes related to transitional and discharge planning and how they can impact your practice
- Identify best practice strategies for transitioning patients across the continuum of care
- Understand the key elements of effective care coordination
- Discuss ways in which to incorporate care coordination into your daily workflow
- Identify how care coordination can be de-railed and how you can keep it on track
- Describe the different skill sets and roles of RN case managers and social work case managers.
- Review specialty case management roles and determine new or updated roles for your contemporary case management department.
- Understand the evolution of case management models
- Identify the best model for to ensure a contemporary case management department.
Case Manager, Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Quality Improvement personnel, Risk Manager, Legal Counsel.
Toni G. Cesta, Ph.D., RN, FAAN is a founding partner of Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing, and evaluating case management departments and models, educational programs, onsite support for leadership and staff.
Dr. Cesta is the author of nine books in the field of case management, a frequently sought-after speaker, lecturer, and consultant, and is considered one of the primary thought leaders in the field of case management. Dr. Cesta also writes a monthly column called “Case Management Insider” in Relias Media’s Hospital Case Management newsletter in which she shares insights and information on current issues and trends in case management.
Dr. Cesta has been active in the research and development of case management for over 25 years. Her research in case management has included two funded studies measuring the effects of a case management model on congestive heart failure and fractured hip patient populations, with measures of patient satisfaction, quality of life, and short- and long-term clinical perceptions and outcomes.
Dr. Cesta has presented topics on case management at national and international conferences and workshops. She has published extensively including the fourth edition of her book, “Nursing Case Management: From Essentials to Advanced Practice Applications,” the third edition of “The Case Manager’s Survival Guide: Winning Strategies in the New Healthcare Environment “, which won the AJN Book of the Year award, “Survival Strategies for Nurses in Managed Care” and her newest book: “Core Skills for Hospital Case Managers”.
This speaker has no real or perceived conflicts of interest that relate to this presentation.
October 5; 5:00 p.m. MTN
Access instructions and materials will be emailed to the person completing the registration prior to the program date. If you do not receive the instructions at least 24-hours in advance, please contact IHA.