Basic of Case Management Boot Camp Series - Part 3
Tuesday, October 26, 2021
1:00 pm - 2:30 pm CST
Offered Through Partnership with Georgia Hospital Association
Part 4: Tuesday/ November 2, 2021/ 1:00 pm - 2:30 pm CST
Part 5: Tuesday/ November 9, 2021/ 1:00 pm - 2:30 pm CST
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.
- 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
Case Manager, Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Quality Improvement personnel, Risk Manager, Legal Counsel.
Toni Cesta, Ph.D., RN, FAAN
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”.