Description:-

Social workers play a unique role on the interdisciplinary care team.  In best practice case management models the social worker focuses on the most psychosocially complex patient and family caregivers and provides them with psychosocial support, interventions and assistance with discharge planning as needed. This program will review the ways in which a social worker can organize their daily schedule using the case management process.  We will review each step in the process from the social work point of view as well as how the social worker can engage with RN case managers and the interdisciplinary care team.  This will be followed by the Conditions of Participation for Discharge Planning, referral to home care and working with patients and family caregivers in a compliant environment.  A detailed review of the role of the family caregiver will complete this program.

Learning Objectives:-

• Understand the case management process as it relates to the role of the social worker.
• Discuss the Conditions of Participation for Discharge Planning and how the social worker can maintain compliance.
• Review the role of the family caregiver as part of the interdisciplinary care team.

Course Outline:-

• The case management process
• Assessing patient needs
• Documentation
• Patient flow
• Definition of discharge planning
• CMS Conditions of Participation for Discharge Planning
• Home care referrals
• Homebound status
• Definition of caregivers
• Educating family caregivers
• The discharge planning process
• Hard wiring family caregiver processes

Why You Should Attend?

Whether you are a social worker or an RN case manager, the role of the social worker and the unique skill sets that social workers bring to the interdisciplinary care team, need to be well understood by all. As CMS is moving toward incorporating family and family caregivers more actively in discharge planning, each disciplines contributions to the team need to be optimized to the greatest extent possible,

We will review the role of families and family caregivers and how these individuals can best be assessed and included in the discharge planning process. Be sure that your practice is up-to-date, compliant and best practice!

Who Should Attend?

• Director of Case Management
• Directors of Social Work
• Case Managers
• Social Workers
• Vice President of Case Management
• Physician advisors
• Medical directors
• Quality improvement staff
• Hospitalists