Interdisciplinary Bedside Rounds: How to Make Yours State of the Art
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, educating case management professionals and assisting in the implementation of case management departmental changes.
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.
Dr. Cesta has also held positions as Corporate Vice President for Patient Flow Optimization and Director of Case Management. She 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.
This webinar will identify the key stakeholders needed for effective interdisciplinary rounds. It will review the best practice rounding processes including scripting and time management. Following this, we will discuss how to hardwire your rounding process so that it remains timely and efficient. The roles of each team member will be included as well as how to involve the patient and family in the bedside rounding process. Also important is the documentation of rounds either during or after they occur, so suggestions for effective documentation as well as a template for documentation will be included. Finally, strategies for how to evaluate your rounding process through outcomes metrics will round out this jam-packed program.
- Joint Commission Safety Standard #2
- Vertical versus horizontal communication
- Crucial conversations
- Patient care conferences
- Internal patient transfers
- Walking rounds
- Walking versus bedside rounds
- Key members of the rounding team
- Key structural points
- Daily goals
- Engaging patients and families
- Provider rounds
- Resident rounds
- Staff nurse rounds
- Case manager rounds
- Clinical pharmacist rounds
- Clinical documentation improvement rounds
- Talking points
- Walking rounds checklist
Course Level - Basic/Intermediate
Who Should Attend
- Director of Case Management
- Director of Social Work
- Case Managers
- Social Workers
- Vice President of Case Management
- Director of Quality
- Nursing Director
- Nursing Vice President
- Physician Advisor
- Emergency department physicians
Why Should You Attend
Many hospitals either have no rounding process or have a dysfunctional process. Sometimes rounds can take hours as they are combined with medical teaching rounds or change of shift reports. Therefore, it is important that organizations understand the best practices in interdisciplinary care rounds, particularly walking rounds. This program will focus on the roles of each team member in the rounding process. Included will be the physician, the resident or hospitalist, the staff nurse, the case manager, the clinical pharmacist, and the documentation improvement, specialist. Other communication strategies to be covered will include patient care conferences, huddles, and internal transfers. Also included will be strategies for planning for rounds and how to script the team members to optimize the time spent discussing each patient. Key structural points for you to include while developing your own rounding process will also be included.
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, the best practice for these rounds includes the full interdisciplinary care team with rounds conducted at the patient bedside. Case managers play a key role in these rounds as either leaders or participants in the process.