Hospital Case Management Boot Camp 2017

Hospital Case Management Boot Camp 2017
This two day program (8:30 am-4:30 pm each day) is designed for hospitals and integrated delivery systems and incorporates leading practices typically aligned under the case management umbrella of activities – care management, access management, utilization review, utilization management (yes, they are two distinct activities), transitional care, and outcomes management. As the environment is quickly changing, many hospital case management programs are transforming themselves into continuum-based care coordination programs to support new payment models and new outcome expectations. Course content includes how these functions inter-relate into daily workflow activities and how they are constantly evolving based on marketplace demands. At the conclusion of this survey course on hospital case management, participants will be able to assess the effectiveness of their facility’s case management program and care management processes, and will gain new insights on how to plan for the future.

Influencing Positive Clinical and Financial Outcomes

This program is approved for a total of 12.5 CCM continuing education units.

This program is approved by the National Association of Social Workers (Approval # 886749394-9272) for 12.5 continuing education contact hours.

Download and print the Registration Form (.pdf) 

Program Description
The speed of change in today’s healthcare market has hospitals scrambling for solutions to meet new regulatory requirements, consumer expectations, and payer demands.  Safety, quality and efficient management of healthcare services are no longer optional activities – they are essential for clinical excellence and economic survival.  Case management has evolved with the marketplace and is the only hospital service that straddles the chasm between the clinical and business world of healthcare organizations.  

Who Should Attend
This course provides a broad overview of case management and as such is perfect for leadership and front-line staff directly or indirectly responsible for any aspect of the patients’ progression-of-care through the acute episode and beyond.  This includes ED leadership team, social service personnel, utilization review specialists, nurse managers, revenue cycle representatives, hospitalists, care/case managers, admissions and bed management personnel, quality/performance improvement professionals, physician advisors, contract coordinators, physician relationship managers, the C-suite team and Board representatives. Program content is applicable to large academic teaching facilities, community hospitals, LTACs, rehab facilities, and Critical Access Hospitals.

Faculty (Subject to Change)

Stefani Daniels, MSNA, RN, ACM, CMAC spent her career in the executive suite of hospitals and is the Founder and Managing Partner of Phoenix: The Hospital Case Management Company.  She is the co-author of the recently published The Hospital Guide to Contemporary Utilization Review and the popular text The Leader’s Guide to Hospital Case Management and a contributing author to the 2nd edition of CMSA’s Core Curriculum for Case Managers. She serves on the editorial boards of Lippincott’s Professional Case Manager, HCPros Case Management Monthly and CMSA Today and is a popular speaker on contemporary hospital and health system case management.

Describe the impact the changing marketplace had had on the evolution of hospital case management programs.
Explain the regulatory environment and how it has influenced utilization review activities.
Differentiate utilization review from utilization management activities 
Discuss how payer contract language affects hospital’s utilization review activities.
Discuss the importance of ensuring that there is a consensus of the vision and purpose of a case management program among hospital leadership.
Discuss why pro-active advocacy is the care manager’s primary ethical obligation and how it is translated into practice.
Explain the value of using predictive screening techniques to identify patients who would benefit from proactive care management and transitions of care.
Demonstrate comprehension of the CMS rules and regulations relevant to access management (2 MN rule), utilization review activities (Conditions of Participation), and transitions of care. 
Discuss strategies to initiate or improve the value of regularly schedule interdisciplinary patient care meetings
Describe some metrics that can be used to evaluate the effectiveness of the care management program. 

Time                                     Boot Camp Topics Day 1
8:30 a.m. –  9:00 a.m.             Welcome Introductions and Objectives
9:00 a.m.  –  9:30 a.m.             What is hospital case management?
9:30 a.m. – 10:00 a.m.             Industry Trends: An Imperative to Change
10:00 a.m. – 10:15 a.m.     Break
10:15 a.m. - 10:45 a.m.     Economic Landscape & Payment Methods
10:45 a.m. - 11:15 a.m.     How Hospitals Get Paid:  RACs, MACs, and ZPICs
11:15 a.m. – 12:00 p.m.     HAC, PACT and POA
12:00 p.m. - 12:45 p.m.     Lunch provided
12:45 p.m. -  1:30 p.m.            Value Based Purchasing
1:30 p.m. -2:15 p.m.            Inpatient or Outpatient:  Inpatient Only List & 2 MN Rules
2:15 p.m. - 2:30 p.m.            Break
2:30 p.m. - 3:15 p.m.            All About Observations, The NOTICE Act & CC44
3:15 p.m. - 3:30 p.m.            The Reform Landscape, Medical Homes, ACOs and Care Across the Continuum
3:30 p.m. – 4:00 p.m.            Compliance and Oversight::Demands for Value, Quality and Safety
4:00 p.m. –  4:15 p.m.            Wrap Up, Questions

Time                                     Boot Camp Topics Day 2
8:15 a.m. - 8:30 a.m.             Review & reinforce key points from Day 1
8:30 a.m. - 9:30 a.m.             Conceptual Framework for Hospital Case Mgmt
9:30 a.m. - 10:30 a.m.             Infrastructural Framework
10:30 a.m. - 10:45 a.m.     Break
10:45 a.m. - 11:30 a.m.        Operational Framework
11:30 a.m. - 12:15 p.m.     Lunch provided
12:15 p.m. - 1:15 p.m.            Care Management Process
1:15 p.m. - 2:15 p.m.            Utilization Review Activities
2:15 p.m. - 2:30 p.m.            Break
2:30 p.m. - 3:30 p.m.            Payer Contracts, Revenue Cycle & Denial Prevention
3:30 p.m. - 4:00 p.m.            Case Management Outcome Scorecards
4:00 p.m. - 4:15 p.m.            Questions, Wrap Up, Evaluations

MADISON AREA HOTEL:  HILTON GARDEN INN, 320 New Mannsdale Road, Madison, MS
(601) 420-0442 for reservations | ask for MHA’s approved rate of $129 per night + tax

Questions?  Contact:

Robin Powell
Education Coordinator
(601) 368-3214 – phone – email
7/18/2017 8:00 AM - 7/19/2017 5:00 PM
116 Woodgreen Crossing
Madison, MS 39110 United States


Tuesday, 18 July 2017

7/18/2017 8:00 AM - 7/19/2017 4:00 PM
7/18/2017 8:00 AM
7/18/2017 8:30 AM - 7/19/2017 4:30 PM
7/18/2017 8:30 AM
7/18/2017 8:30 AM - 7/19/2017 4:30 PM
7/18/2017 8:30 AM

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