Webinar Description:

To provide the participants with the processes and metrics for measuring the success of a clinical case management model when implemented in their organization.

A hospital has to be able to demonstrate that they are meeting regulatory and payer requirements as well as ensuring that the delivery of patient care is timely and appropriate so as to prevent complications.

This Webinar will define the data requirements and the processes for collecting the “data” necessary to demonstrate the model’s success in meeting its stated objectives as well as on-going opportunity for improvement.

Target Audience:

• Department heads
• Supervisors
• Human Resources
• Senior Leadership
• Physician Leadership
• Case Management and Social Work Staff
• Middle managers (Directors of Case Management,Utilization Management, Social Services, Discharge Planning)
• Case Managers/Utilization Managers
• Social Workers
• Discharge Planners
• Senior managers (PI Directors, Chief Nursing Officers, Vice-President of Patient Care Services, etc.)

Webinar Objectives:

• Describe the phases associated with implementing and managing the transition into model
• Name three strategies to manage the resistance of a case management model
• List three strategies to increase physician support for a case management model
• Name the three main categories of metrics for measuring the success of case management
• Describe the data collection tools to meet their organization’s specific needs

Webinar Agenda:

• LOS Metrics-what do you measure?
• Other required metrics necessary for monitoring the success of a clinical case management model
  • Cases opened within 24 hours
  • Nursing home -new referral -returns
  • Community benefit line
  • Costs for top 10-25 DRG’s
• Managed Care Metrics
• Metrics display
• Manual Data Collection Tools
• Computer Applications
• Role of Risk Adjustment

Contact Hours:

This course has been approved for 1.2 Iowa Nursing Contact Hours. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.