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Early case management models no longer meet the needs of the changing healthcare landscape. CMS has instituted linkages between cost and quality through value-based purchasing, payment penalties for high readmission rates, and other cost-saving measures. Hospitals and healthcare systems must look thoughtfully and carefully at the design, roles and functions, and staffing ratios of their case management departments. Selection of the most appropriate model will depend on the needs of the organization, the available resources, and the expected goals and outcomes.
This program will provide you with the tools that you will need to identify the changes or upgrades you may need to make in your own case management department.
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|- Why change now?||- Definition of functions||- Purpose of patient flow|
|- Model of care definition||- Resource management||- Goals of patient flow|
|- Integrated model||- Quality management||- Denial management|
|- Triad Model||- Psychosocial assessments||- Variance tracking|
|- Definition of functions||- Departmental structure||- Discharge planning|
|- Utilization management||- Collaborative Model||- Integrated model|
|- Implementation steps||- Similarities between models||- Staffing ratios|
|- Contemporary CM roles||- Differences between models||And so much more!|