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When CMS instituted a linkage between cost and quality of healthcare, hospitals and healthcare systems required case management models to change and adapt to quality and cost-saving measures, like implementing value-based purchasing programs. Case managers now need to look at the designs of their case management models and staffing ratios of their departments to meet the changing landscape.
This two-part series will review key elements needed to transform your case management department. Part I of the series will cover roles and functions of different staff members in a case management department. Our experts will discuss the Standards of Practice for social workers and nurse case managers defined by the Case Management Society of America and apply those standards to contemporary roles to help social workers and nurses perform their jobs.
Part II of the series will focus on contemporary case management models, analyze key differences between each model, and review how each model should be designed and structured. This will be followed by recommendations on designing a case management department to accommodate each model. Also, our experts will discuss best practice staffing ratios for each model as they apply to RN case managers and social workers, and review strategies for optimizing existing resources.
Learn how to re-engineer your case management department by identifying best models for your organization!
|- Role #1 - Goals & functions of patient flow||- Role #7 - Psychosocial assessment & counseling||- CMSA case management Standards of Practice|
|- Role #2 - Utilization & resource management||- CMSA case management Statement of Philosophy||- Integrating case management skill sets|
|- Role #3 - Key functions of denial management||- CMSA guiding principles for case management||- Complimentary case management skill sets|
|- Role #4 - Goals & functions of variance tracking||- Applying variety of case management roles||- Social worker expertise & referral process|
|- Role #5 - Transitional & discharge planning||- Integrated case management models||- Shared roles between RN case managers & social workers|
|- Role #6 - Quality management & the case manager||- Case management resources||And there's more!|
|- Foundations of an integrated model||- Roles & functions in an integrated model||- Staffing ratios for RNs in an integrated model|
|- Staffing ratios for SWs in an integrated model||- Foundations of a collaborative model||- Roles & functions in a collaborative model|
|- Staffing ratios for RNs in a collaborative model||- Staffing ratios for SWs in a collaborative model||- Advantages & disadvantages of each model|
|- Similarities of the models||- How to design a model||- Payer mix|
|- Length of stay||- Patient complexity||And there's more!|