The Emergency Department is the patient’s primary route of entry to many hospitals today.  Patients enter the acute care system via a visit to the hospital’s ED.  Without case managing this area of the hospital, patients may be admitted inappropriately or to the wrong level of care.  Patients who might have benefited from home care and could have left the ED get admitted.  

During this 90-minute webinar which is part three of the in the “Developing Your Case Management Program” series, case management experts Dr. Toni Cesta and Bev Cunningham, RN, MS will discuss how to develop and implement emergency department case management.  They will review all the elements needed for a contemporary ED case management program including roles, functions, staffing and outcomes.  Also discussed will be the specific interventions that ED case management can use to address hospital vulnerability related to Recovery Audit Contractors, denials by all third party payers, reductions in payments for high numbers of readmissions, patient flow and patient satisfaction.  Join us in determining the best way to develop and implement an emergency case management program that will meets the needs of the hospital, the patients and regulatory bodies within the new world of healthcare reform.

Learning Objectives:

• Discuss the roles and functions of the emergency department RN case manager and social worker
• Review the regulatory, compliance and financial implications of ED case management
• Describe the outcomes that can be achieved through an ED case management program

Target Audience:

• Case Management Directors and Managers
• Discharge Planning Directors and Managers
• Patient Care Services Professionals
• Quality Assurance Directors and Managers
• Social Workers and Social Service Directors
• Utilization Management Directors and Managers 

Level: All levels

Meet Your Experts:  

Toni G. Cesta, Ph.D., RN, FAAN is Senior Vice President for Operational Efficiency and Capacity Management at Lutheran Medical Center in Brooklyn, New York.  Additionally, Dr. Cesta serves as Health Care Consultant and partner in Case Management Concepts, LLC, a consulting company assisting institutions in designing, implementing and evaluating case management models, new documentation systems, and other strategies for improving care and reducing cost. Dr. Cesta has presented and published extensively on case management topics. She has presented at national and international conferences and workshops, and is the author of "Nursing Case Management: From Essentials to Advanced Practice Applications" and the best selling book - "The Case Manager's Survival Guide: Winning Strategies for Clinical Practice". In 2009 Dr Cesta co-authored a new book "Case Management Core Skills" with Beverly Cunningham. Dr. Cesta has also been active in the research and development of case management for 20 years. She is Consulting Editor of "Hospital Case Management Journal" and serves as editorial advisory board member of several case management journals and publications including "Strategies for Healthcare Excellence" and "The Journal of Care Management."

Bev Cunningham, RN, MS is a Vice President, Clinical Performance Improvement at Medical City Dallas Hospital.  Her responsibilities include Case Management, Health Information Management, Documentation Integrity, Quality Management, Patient Access and Transplant Financial Services.   Bev is a well-known speaker in the Case Management field and she has presented internationally. Her area of expertise includes 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 a partner and consultant in Case Management Concepts, a company that provides international support to hospitals regarding effective Case Management model development and evaluation. Bev's publications include a chapter CMSA's Core Cirriculum for Case Management Certification and most recently, co-author of the book, Core Skills for Hospital Case Management.  She is on the advisory board for American Health Consultant's publication, Hospital Case Management.

Registration includes:

• Admittance to the webinar for as many people as you can fit in a room with a speakerphone 
• Access to the specially created presentation handouts (available 48 hours in advance) 
• Participation in the 15-minute, live Q&A with the speaker following the presentation 
• Continuing education credit letter for all webinar attendees 

Participation:

AHC Media webinars may be attended in an audio-only format, but we encourage attendees to take advantage of the webinar feature as it may allow you to participate in interactive survey questions throughout the presentation. Each listener participates in the continuing education activity by listening to the webinar and completing the online post test and evaluation.

Accreditation Statement:

AHC Media is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Credit Designation:

This activity has been approved for 1.5 nursing contact hours using a 60-minute contact hour.

Provider approved by the California Board of Registered Nursing, Provider # 14749, for 1.5 Contact Hours.

This program has been approved by the Commission for Case Manager Certification for 1.5 clock hours.

Sponsor:

The sponsor of this educational activity is AHC Media.

Refund Policy:

If you are not able to attend for any reason, please notify us as soon as possible. Webinar cancellations received prior to the start time of the webinar are fully refundable. If you prefer, you may substitute an upcoming webinar for the one you originally registered for.

Recorded: Tuesday, March 6, 2012