How to Think Like an Accountable Care Organization - Integrating Case Management Across the Continuum
Instructor:
Toni Cesta
Product ID: 705201
- Duration: 60 Min
Why Should You Attend:
While some hospitals are participating with the Centers for Medicare and Medicaid Services (CMS) as an accountable care organization (ACO), others are not yet participating. Even if your hospital or health system is currently not participating, many of the new CMS initiatives and payment changes still require that you think and behave like one. Bundled payments are one such example in which quality of care and costs must be managed across the continuum. Evidence shows us that case management can serve as the lynch pin that connects departments and disciplines across the continuum while retaining the patient as the center figure in the process.
In this webinar you will learn how to coordinate the patient’s transition between healthcare systems and settings such as moving from the hospital to rehabilitation and home settings. We will discuss ways in which to maintain open communication between the patient, patient’s family or caregiver and other members of the interdisciplinary healthcare team at all times regarding the transitional location.
In this training, there will be a discussion on how to apply strategies for involving the patient and family in decisions regarding care and transitional options. Since many factors impact on the integration of case management among and between providers these will be covered in detail including the role of the patient/family, physicians and other providers of care, case management and post-acute providers.
Finally we will review best practice strategies for ensuring that patients do not fall between the many cracks and gaps in today’s healthcare systems.
Areas Covered in the Webinar:
- Case management as a strategy for linking patients across the continuum
- A contemporary description of the continuum of care
- Applications of case management regardless of setting
- How to engage stakeholders in patient care transitions
- The three components of care transitions
- The influences on patient care transitions
- Internal and external solutions to care transitions
- Developing an ACO mentality
- A review of community case management
Who Will Benefit:
- Director of Case Management
- Director of Finance
- Case Managers
- Social Workers
- Vice President of Case Management
- Directors of Patient Centered Medical Homes
- Home Care Directors and Managers
- Home Care Case Managers
- Community-Based Providers
- Long-Term Care providers
- Community-Based providers
- Community-Based Case Managers and Social Workers
Toni Cesta
Consultant and Owner, Case Management Concepts LLC
Toni G. Cesta, Ph.D., RN, FAAN is Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating acute care and community case management models, new documentation systems, and other strategies for improving care and reducing cost. The author of nine books, and a frequently sought after speaker, lecturer and consultant, Dr. Cesta is considered one of the primary thought leaders in the field of case management.
Dr. Cesta writes a monthly column called “Case Management Insider” in the Hospital Case Management journal in which she shares insights and information on current issues and trends in case management.
Prior to her current work as a case management consultant, Dr. Cesta was Senior Vice President – Operational Efficiency and Capacity Management at Lutheran Medical Center in Brooklyn, New York. She was responsible for case management, social work, discharge planning, utilization management, denial management, bed management, the patient navigator program, the clinical documentation improvement program and systems process improvement. Prior to her position as Senior Vice President at Lutheran Medical Center, Dr. Cesta has held positions as Corporate Vice President for Patient Flow Optimization at the North Shore – Long Island Jewish Health System and Director of Case Management, Saint Vincents Catholic Medical Centers of New York, in New York City and also designed and implemented a Master’s of Nursing in Case Management Program and Post-Master’s Certificate Program in Case Management at Pace University in Pleasantville, New York. Dr. Cesta completed seven years as a Commissioner for the Commission for Case Manager Certification.
Dr. Cesta has been active in the research and development of case management for over 25 years. Her research in case management has included two funded studies measuring the effects of a case management model on congestive heart failure and fractured hip patient populations, with measures of patient satisfaction, quality of life, and short and long term clinical perceptions and outcomes.
Dr. Cesta has presented topics on case management at national and international conferences and workshops. Her books include “Nursing Case Management: From Essentials to Advanced Practice Applications”, “The Case Manager’s Survival Guide: Winning Strategies in the New Healthcare Environment”, “The Case Manager’s Survival Guide: Winning Strategies for Clinical Practice”, “Survival Strategies for Nurses in Managed Care” and “Core Skills for Hospital Case Managers”. Dr. Cesta is Consulting Editor of “Hospital Case Management Journal” and “Discharge Planning Advisor”. In addition, she serves as editorial advisory board member of several case management journals and publications including “Strategies for Healthcare Excellence” and “The Journal of Care Management”.
Dr. Cesta has a BS in Biology from Wagner College, a BS in Nursing from Adelphi University, an MA in Nursing Administration from New York University, and a Ph.D. in Nursing Research and Theory Development from New York University.
Dr. Cesta is a Fellow of the American Academy of Nursing. Among her awards are included the “Nursing Service Administration Award” from the New York State Nurses Association, the Jessie M. Scott Award for excellence in research, practice and education from the American Nurses Association, and three “Book of the Year” awards from the American Journal of Nursing. In 2010, she was awarded the Brooklyn Leaders Award from the Arthritis Foundation.
Topic Background:
Integrating case management across the continuum requires that hospitals and post-acute providers think like an Accountable Care Organization even if they aren’t one. This kind of thinking requires that patients remain the center of the wheel around which all case management processes revolve. Every case management department must ensure that they are providing an infrastructure for managing patients across the continuum that includes hard-wired processes for identifying and managing the highest risk patients regardless of setting.
More Training By Experts
- Bundled Payment Review: How Case Management Can Play a Strategic Role
- An Update on Discharge Planning Rules and Regulations for 2022
- Interdisciplinary Bedside Rounds: The State of the Art
- Compliance Measures for Case Managers
- Best Practice Case Management Roles and Functions: How to Optimize RN and Social Worker Skill Sets
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