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Understanding the Utilization Review and Discharge Planning Process

Understanding the Utilization Review and Discharge Planning Process
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$350.00
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18T12401
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Product Description

What are you doing in the area of discharge planning especially to reduce unnecessary admissions?

Preventing unnecessary readmissions is essential. Hospitals that have a higher rate of readmission will receive less money from CMS after October 2012. This is why there will be increased surveillance activity in the area of discharge planning. It is important to establish medical necessity especially in light of the RAC program so hospitals do not have to pay back money. So what’s in your UR plan? Does your hospital have a contract with your state QIO? 

In this 90-minute webinar, nurse attorney Sue Dill Calloway will challenge you to review your discharge planning to reduce unnecessary admissions.

Learning Objectives:

  • Recall why CMS has utilization review standards that hospitals should follow
  • Explain why The Joint Commission has changed their leadership standards to require a UR plan and UR committee
  • Discuss why one is every five Medicare patient is readmitted within 30 days
  • Identify recommendations for hospitals to reduce unnecessary readmissions
  • Recall why CMS has discharge planning standards that every hospital must follow
  • Discuss why CMS recommends that the discharge planning team use a checklist to make transfers more efficient

Target Audience:

  • Utilization review committee 
  • Transitional care nurses
  • Social workers
  • Discharge planners
  • Chief nursing officer 
  • Compliance officer
  • Risk manager
  • Regulatory officer
  • Physician advisor
  • UR nurses
  • Compliance officer
  • Nurse educators
  • Chief operating officer
  • Chief executive officer 
  • Health information director

 

Level: All levels 

Meet Your Expert:

4d59738b6f731calloway-sue.jpgSue Dill Calloway is a nurse attorney and medical-legal consultant. She has done many educational programs for nurses, physicians, and other health care providers. She has spoken internationally on patient safety, risk management, legal, regulatory, and CMS and Joint Commission issues. She has authored over a thousand articles and a hundred books including a book on the Compliance Guide to the Joint Commission, CMS Patient Rights Standards and a book on 2009 Joint Commission Leadership and many books on nursing law and nursing law and ethics.  

Her associate degree is from Central Ohio Technical College and Ohio State University. Her BA, BSN in Nursing, MSN in nursing (summa cum laude) and JD degree (law degree with honors) are from Capital University in Columbus, Ohio.

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.

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: Wednesday, February 22, 2011 


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