Catalog Number : nmf1706
Title : Clinical Case Management: A Critical Process for Meeting Regulatory & Reimbursement Issues
Speaker : Barbara Faruggio

Webplay Recording Date :
Webplay Price : $ 7-6-2010 for two weeks viewing

Webinar Description:

Linkedin reported this past month on the Top 12 Healthcare Quality Concerns in 2012. Of the twelve listed three are directly influenced by the implementation of a clinical case management model; patient scores, readmission rates and outcomes measurements. All of these concerns will start to be reported publicly and will influence reimbursement rates. This webinar will provide participants with an understanding of how hospitals can implement a clinically focused case management model to meet these INCREASING regulatory and reimbursement challenges in today’s healthcare environment.

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:

• Define and name the benefits of a clinical-focused case management model
• List the key role responsibilities of “THE” healthcare team
• Understand how to select “talented staff”
• Describe an effective orientation and on-going education process
• Name the three most common barriers impacting success

Webinar Agenda:

• Defining a clinical focused case management model
  • Key elements and functions of a clinical focused case management model
  • Process flow in the clinical focused case management model
  • Defining utilization review, case management, care coordination, resource management
• Utilizing Bridge’s Managing the Transitions of Change to support implementation of the model
• Designing the model with an interactive planning approach-steering committee responsibility
• Clinical Case Management Assignment Methodologies
  • Unit based to physician based- pros and cons
• Organizational chart- supporting roles ex: IT nurse, complex social worker role
  • Implementation strategies for critical care access hospitals and hospitals 100 beds
• Listing the key role responsibilities of the healthcare team in implementing a clinical focused case management model
• Utilizing a matrix to define role responsibilities
• Job descriptions and performance evaluation samples
• Hiring “talented staff” - Sample behavioral questions-- staff selection matrix
• Orientation Process and In-service tools
• Impact of the clinical case management process on patient flow
  • Managing the Patient Admission Assessment Process
  • Implementing the Patient Discharge Process
• Common barriers encountered
• Line listing of the supporting infrastructure for an effective clinical focused case management

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.