Case management models are the foundation that supports all the work of the case management department.   The application of the roles and functions must be within a framework and the model provides that structure. In addition to the roles, functions and model design, appropriate staffing ratios must be used. In part 1 of this two-part program, the essential roles and functions of today’s acute care nurse case manager and social worker were reviewed and discussed.  In part 2, we will apply those roles and functions to two best practice models.  We will also discuss other adaptations that can be made to the core models to assist hospitals in their response to health care reform, Accountable Care Organizations, and case management across the continuum of care.

The second 90-minute webinar in the “Developing Your Case Management Program” series by case management experts Dr. Toni Cesta and Bev Cunningham, RN, MS will review how to apply the most contemporary case management roles and functions in the creation of a best practice model.   Gone are the days of the past when case management departments could get by with minimal staffing and no vacancy coverage for vacation, holidays and sick days.  Today’s department must be staffed based on ratios that have been tested and are deemed best practice in today’s case management world.  While case management used to be considered an “add-on” department, today we must be sure that we have a prominent role and that our departments are designed to be the most efficient and effective that they can be.  Two of the most tested models will be discussed in the context of the healthcare reform landscape and the evolving nature of health care today. Strategies for individualizing these models to your hospital will be explored as well as the staffing you will need for both nurse case managers and social workers to be successful and to meet your department’s goals and objectives.  

Learning Objectives:

• Discuss two best practice case management models
• Review various adaptations that can be made to case management models
• Explain the minimum staffing ratios needed for case management models to be successful

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.

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, February 28, 2012