Part 2: Acute Care Case Management Roles, Models and Staffing Ratios: Who Does What and When?       

Mar 06, 2019   1:00 PM EST   90 Minutes

The Centers for Medicare and Medicaid Services (CMS) has instituted  linkages between cost and quality through value-based purchasing and other cost-saving measures such as payment penalties for high readmission rates. These changes  have created the first links between the cost and quality of health care. These factors now require that case management models begin to change and adapt. The early case management models no longer meet the needs of the changing healthcare landscape!  It is for this reason that hospitals and health care systems must look thoughtfully and carefully at the design of their case management models, the roles used, and staffing ratios of their case management departments. 

This program will review contemporary, best practice, case management roles and models. The program will begin with the contemporary case management roles used in hospitals today. This will be followed by a model review which will include descriptions of the two most commonly used models, the key differences between the models, as well as how they should be designed and structured. 

Part 3: Utilization Management: What Does it Really Mean for Case Management Professionals?       

Mar 21, 2019   1:00 PM EST   90 Minutes

Utilization management was the first role applied in acute care case management models.  It was first known of as utilization review but has evolved into something much more comprehensive.  Today it encompasses elements of resource management and denials management as well.  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 stream-lining the process and making it as efficient as it can be.  Required compliance for utilization management processes will also be addressed.  Lastly, there will be a focus on incorporating the role of utilization management with the other roles of case management:  resource management, discharge planning and care coordination.

Part 4: Transitional and Discharge Planning Under the Current and Proposed CMS Rules for 2019       

Mar 27, 2019   1:00 PM EST   90 Minutes

Discharge planning has become more than just the movement of the patient out of the hospital.  It is a “process” that starts at the point of admission and follows through to the community and the post-acute care providers. The Center for Medicare and Medicaid Services has specific requirements for this process. This program will review those requirements.  It will also discuss the challenges hospitals are facing as they assume more risk some of the new payment models, such as bundled payments. Strategies for safely transitioning your patients across the continuum of care will be discussed.  In addition, we will review how to engage other members of the interdisciplinary care team in the process of planning for the patient’s movement across the continuum including verbal and written hand-off communication. Transitional planning is no longer a destination but a process!  Learn how to align with the next level of care providers and ensure that your processes address the complexities of the new healthcare environment.

Part 5: Is Your Case Management Department Making the Grade? Here’s How to Measure your Case Management Outcomes          

Apr 02, 2019   1:00 PM EST   90 Minutes

This webinar will discuss and review the expected outcomes of a contemporary case management department.  Also included will be a discussion as to how to align these outcomes with the hospital’s strategic plan.  As you select these indicators, you will need to have clear benchmark data that represent national or local standards which you can measure yourself against.  This program will include the most up-to-date case management outcome indicators in an age of healthcare reform.  Also included will be a discussion of how to report this information and how to use it for performance improvement.  Only data can truly tell you how you are doing and this program will help to get on track to achieving the best outcomes you possible can!