Let's get Down to Business! Managing the Business and Compliance Piece of Case Management.

You've learned the basics now let's get down to business! AHC Media is pleased to present an ALL NEW hospital case management webinar series -- "Let's get Down to Business! Managing the Business and Compliance Piece of Case Management. This series will provide clarification for case managers to assure compliance with federal and state regulations; and our experts will explore the various processes supporting the business aspect of case management.

This training is perfect for all levels of case managers! Status, level of care, condition code 44, the important message and other key rules and regulations drive case management processes. This session will provide clarification for the case manager to assure compliance to federal and state regulations.
As the economic recession continues, the case manager's role - which includes both clinical and financial outcomes - has become ever more important to cutting hospital costs. This session will address processes supporting the business aspect of the role.
Hospital case managers can have a profound impact on the quality of care as well as the hospital's bottom line. This session will explore the various clinical and financial outcomes affected by the hospital case manager.
Benefits of Training:

1. Discover the key to maintain best practices for resource allocation and cost-effective medicine
2. Learn the clinical outcomes MOST important to a hospital case manager.
3. Gain insight on why case management is critical to help measure a hospital's success in quality care and financial stability
4. Learn how proper streamlined communication can improve the overall bottom line
5. Find out how case management compliance can reduce unnecessary admissions
6. Insight on why you should not play around with condition code 44

Who Should Attend:

• 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.


Beverly Cunningham, MS, RN is vice president, clinical performance improvement, Medical City Dallas Hospital, where she is responsible for Case Management, Quality, Health Information Management and Patient Access. She is nationally known for her work in the area of case management and has presented seminars and spoken at national conventions. Beverly has extensive experience in health care management.

Learning Objectives:

• Discuss case management responsibilities for compliance.
• Incorporate compliance into daily case management processes.
• Develop communication strategies with physicians regarding compliance.
• Describe reimbursement methodologies.
• Identify strategies to assure optimal utilization management.
• Develop physician communication methods while achieving business outcomes.
• Discuss the clinical outcomes most important to a hospital case manager.
• Describe the financial outcomes related to the role of a hospital case manager.
• Discuss data sets and how to track and trend them to achieve the best clinical and financial outcomes.

Planning Committee:
Our expert planning committee is bringing you practical and immediately actionable strategies and techniques that will help you improve the clinical and financial outcomes for your case management program.

• Program Chair: Toni G. Cesta, PhD, RN, FAAN (Nurse Planner)
• Beverly Cunningham RN. MS
• Monica Hale, LCSW
• Kimberly Byer-Clark, Conference Manager, AHC Media, Atlanta, GA

Continuing Education:

Participation:

Each listener participates in the continuing education activity by listening to the audio conference 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 4.5 nursing contact hours using a 60-minute contact hour.

Provider approved by the California Board of Registered Nursing, Provider # 14749, for 4.5 Contact Hours.

This program is approved by the National Association of Social Workers (Provider #886399925) for 4.5 continuing education contact hours.

This activity has been approved by the Commission for Case Manager Certification for 4.5 clock hours.

Sponsor:

The sponsor of this educational activity is AHC Media.

The information provided in AHC Media audio conferences does not, and is not intended to constitute medical diagnoses or legal advice. Individual tracer methodology outcomes cannot be guaranteed. Opinions, references and links provided by our speakers are provided for your convenience and do not represent our endorsement of such opinions, products or services.

Recorded:  May 5, May 13 and May 19, 2010