Product Details

 

The world of healthcare is changing rapidly that it can be a challenge to stay current and knowledgeable on the issues that affect your role as a case manager. Whether you are reading or hearing about value-based purchasing, 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!

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 need to produce the best outcomes for you, your patients and your organization.

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Part 1: Case Management Review & Preview: 2017 & Beyond

This program will review where case management came from and how it will work in today’s managed care and government payer environments. This webinar will review Medicare’s latest programs that impact the role of case managers, including value-based purchasing, readmission reduction program, accountable care organizations and others.

Part 2: Utilization Management & The Case Manager

This program will review the role of utilization management as it applies to today’s contemporary case management models. Included will be best-practice suggestions for your practice with tips and strategies for streamlining the process and making it as efficient as it can be. 

Part 3: Transitional Planning Under Current & Proposed CMS Rules

This program will discuss the most recent changes from the Medicare program on discharge planning as well as strategies for safely transitioning your patients across the continuum of care. 

Part 4: Compliance Measures for the Case Manager’s Daily Practice

This program will outline the compliance issues that affect your practice: the Two-midnight rule, the NOTICE Act, HINNs, and many others. Learn how to identify and resolve compliance practice gaps in your organization. 

Part 5: Measuring Success: Does Your Case Management Department Make the Grade?

This program will discuss the latest methods in which case management departments and staff can ensure that they are achieving optimal outcomes. Learn about the latest outcome measures and hwo to build dashboards to track results.

After this webinar participants will be able to:

1. Describe case management and its role in government payer environments.
2. List strategies for managing cost and quality under CMS changes.
3. Describe the differences between utilization review and utilization management.
4. Explain best strategies for managing utilization reviews and other issues related to utilization management.
5. Identify the best ways to transition patients across the continuum of care.
6. Explain how the new CMS changes relate to transitional and discharge planning.
7. Identify compliance gaps in your daily practice.
8. Design a workable case management dashboard.
9. Describe contemporary outcome measures for case management.
10. Explain new and revised case management standards, regulations, and laws put forth by CMS, TJC and the federal government.

Your Speakers: 

Toni Cesta, PhD, RN, FAAN is a founding partner of Case Management Concepts, LLC. Dr. Cesta is the author of eight books, 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 AHC Media’s Hospital Case Management newsletter. She has been active in the research and development of Case Management for over 20 years.

 

Beverly Cunningham, MS, RN is a founding partner of Case Management Concepts, LLC.  She has a 25-year deep working knowledge of case management with specific expertise in denials management, patient flow and the role of the Case Manager and Social Worker in the Case Management process. She has served as a Commissioner on the Commission for Case Management Certification and is a fellow with the Advisory Board. Bev is also the former Vice President of Resource Management at Medical City Dallas Hospital.