This program will review the elements that most greatly impact on cost and length of stay by focusing on care coordination as one of the key strategies for successful reductions of these metrics. Care coordination, as one of the main roles of the RN case manager and social worker, is complex and includes many characteristics that encompass the role. These will be covered as well as those elements that have the greatest negative impact on care coordination. Those that have the greatest positive impact will be discussed in detail. Working with teams to enhance care coordination, as well as rounds and huddles, will be discussed. Participants will walk away with effective strategies for managing their hospital’s length of stay and cost.
Care coordination is one of the four key roles that hospital case managers and social workers perform. The other roles include utilization management, discharge planning, and resource management. It is integral to managing cost and length of stay. Nevertheless, it is often overlooked or under-performed. This is sometimes due to workload issues and/or understaffing. Other times it is due to a lack of focus on this area of work. Case management professionals must perform this role in their daily practice. No other department or discipline owns care coordination in the way that we do and so we must understand how best to coordinate care and how to integrate care coordination into your daily practice. We provide leadership in cost and length of stay reduction and care coordination is a fundamental way in which to achieve these outcomes.
is a founding partner of Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating case management models in the acute care, emergency department and outpatient settings. Dr. Cesta writes a monthly column called “Case Management Insider” in the Hospital Case Management newsletter in which she shares insights and information on current issues and trends in case management.
Dr. Cesta has held positions as Senior Vice President – Operational Efficiency and Capacity Management at Lutheran Medical Center in Brooklyn, New York where she was responsible for case management, social work, discharge planning, utilization management, denial management, bed management, the patient navigator program, the clinical documentation improvement program and systems process improvement.
Dr. Cesta has a BS in Biology from Wagner College, a BS in Nursing from Adelphi University, an MA in Nursing Administration from New York University, and a Ph.D. in Nursing Research and Theory Development from New York University. Dr. Cesta is a Fellow of the American Academy of Nursing.
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