Access Point Case Management: Managing Your Routes of Entry While Maintaining Compliance with the 2-Midnight Rule
In this webinar we will explore the unique roles of the ED and admitting office and transfer center case managers and social workers and how an initial assessment and clinical review can better ensure that patient are placed in the correct setting right from the get-go. We will review the 2-midnight rule and the part that case management plays in managing it. This can better ensure a reduction in use of Con..
We will begin with a review of the prior rules and from there we will discuss the most recent changes from the Medicare program and how they will impact the roles of the RN case manager and the social worker. Learn how to be sure that your processes address the complexities of the new healthcare environment and that your role as a case manager or social worker is designed and staffed to meet the changes ahe..
This program will review the elements that most greatly impact on cost and length of stay by focusing on care coordination as one of the key strategies for successful reductions of these metrics. Even CMS’s Spending per Medicare Beneficiary Measure, also known as the Efficiency Measure, holds your hospital accountable for these metrics. Care coordination, as one of the main roles of the RN case manage..
Interdisciplinary care rounds are moving front and center as a key strategy for coordinating care, managing length of stay and improving patient and family satisfaction. It is also a component of the Joint Commission’s Safety Standard #2. According to the Joint Commission, best practice for these rounds includes the full interdisciplinary care team with rounds conducted at the patient bedside. Case ma..
The Centers for Medicare and Medicaid Services (CMS) has instituted linkages between cost and quality through value-based purchasing and other cost-saving measures such as payment penalties for high readmission rates. These changes have created the first links between the cost and quality of health care. These factors now require that case management models begin to change and adapt. The early c..
This program will review the compliance issues that most greatly impact your practice such as the 2-midnight Rule, the NOTICE Act, HINNs, the important message and others. The joint commission is now monitoring these issues when they have deemed status from medicare, so your compliance is critical to a good joint commission survey outcome.This program will help you to identify where you may have compliance ..
This webinar will provide an in-depth understanding of the Federal False Claims Act, Federal Anti-Kickback, and Stark laws, and discuss how marketing activities can trigger either or both.This program will review the Federal False Claims Act and its various elements. It will examine what it covers and how it works, what is required to prove a false claim, who can bring an action under the Act, its damages, ..
This session will discuss the roles and functions of staff in a case management department that are needed to support the department’s goals through collaborative professional processes. The skill sets and characteristics for the role of the RN case manager and the social worker will be reviewed, as well as identifying the most contemporary functions needed to respond to changes brought on by healthcare ref..
Learn to identify and apply differing and conflicting rules with respect to the specific health care practitioner, the specific health care facility practice, and the emerging rules and regulations for electronic medical records confidentiality, security, and disposition. In addition to these clinical requirements of a specific profession, additional state laws set forth the content and retention of other t..
The topic is breaches of the impermissible use or disclosure of protected health information and for state law, personal information. A breach risk assessment is required with 4 questions that must be addressed. We will review the breach risk assessment, identifying a breach, no breach is too small to review and report, and what to do when a major breach (500 records) or more is involved. With a major b..
In an era of value-based purchasing, this role is more important than ever in managing metrics such as the Efficiency Measure and Readmission Reduction. It is also critical in a bundled payment environment or accountable care organization. Learn how to incorporate this role into your daily routine using best practice strategies.This program will review the elements that most greatly impact cost and length o..
As case managers, we must be aware of the myriad of compliance issues that we must adhere to in our daily practice. Never has this been more important to our work as case managers than it is now. Our ability to remain compliant has become an element of audits from accrediting bodies such as the Joint Commission as well as the Centers for Medicare and Medicaid Services (CMS). It is the right thing to do for ..
As case managers, we must be aware of the myriad of compliance issues that we must adhere to in our daily practice. Never has this been more important to our work as case managers then it is now. Our ability to remain compliant has become an element of audits from accrediting bodies such as the Joint Commission as well as the Centers for Medicare and Medicaid Services (CMS). It is the right thing to do for ..
This program will review the compliance issues that most greatly impact your practice as a case management professional such as the 2-midnight rule, the NOTICE Act, HINNs, The Important Message, and others. Do you have a utilization review committee and is it compliant with the Conditions of Participation for Utilization Review? Are you compliant with the Federal rules for discharge planning? Case managemen..
Healthcare facilities struggle with compliance for the OSHA Bloodborne Pathogens Standard, especially with the newer requirements from the Needlestick Safety and Prevention Act. This session will be delivered by a former OSHA National Bloodborne Pathogens Coordinator and will give you first-hand experience regarding some of the mistakes that healthcare facilities make that result in citations and fines. It ..