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Readmissions are a focus of every hospital. As CMS developed the readmission penalty there has been an intensified focus on process improvement for readmissions. The question often becomes, "Who really owns readmissions?" While case management may not own the complete process or be held completely responsible for the rates, the department and its staff are key members in the readmission strategy stakeholders. Regardless of the tool used to predict risk of readmission, each stakeholder is critical in reducing the rates of readmission in their individual hospital.
This presentation will focus on the financial impact of readmissions, whether it is for Medicare, bundled payments or commercial insurance. The financial impact is complex and often duplicates itself throughout the different penalty and value-based purchasing programs. This webinar will also cover each of the roles in the case management department and methods for collaboration with other stakeholders.
|- Government oversight of readmissions||- Risk stratification|
|- Blue advisory boxes and readmission management||- Readmission dashboard|
|- Readmissions as part of payment strategy and financial impact||And so much more!|
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is a founding partner of Case Management Concepts, LLC. Dr. Cesta is the author of eight books, a frequently sought-after speaker, lecturer and consultant and is considered one of the primary thought leaders in the field of Case Management. Dr. Cesta also writes a monthly column called Case Management Insider in AHC Media’s Hospital Case Management newsletter. She has been active in the research and development of Case Management for over 20 years.
is a founding partner of Case Management Concepts, LLC. She has a 25-year deep working knowledge of case management with specific expertise in 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 the former Vice President of Resource Management at Medical City Dallas Hospital.