Best Practices in Case Management 2021 : Module 4 Recorded Webinar | Beverly Cunningham and Toni G Cesta | From: Feb 17, 2021 - To: Dec 31, 2021 |
Best Practices in Case Management 2021: Module 4 - The CMS Conditions of Participation for Discharge Planning: New Rules for 2020 and Beyond
The CoP is the legal and regulatory requirements that hospitals and case management professionals must follow to be compliant in their role as discharge planners. It is important that all case management professionals, including both nurses and social workers, are familiar with the changes to the Conditions of Participation for Discharge Planning that were announced in October 2019 for Federal Fiscal Year 2020. From here we will then discuss these 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 ahead! Be sure you know the old rules, the new rules, and the proposed rules so that your practice will be current and legal! Join us in reviewing the current rules, the new rules, and the proposed rules from CMS for Discharge Planning for 2020.
Areas Covered in the Session:-
Why Should You Attend?
In this program, we will review start with reviewing the current rules for discharge planning as outlined under the Conditions of Participation (CoP) from the Centers for Medicare and Medicaid Services. Are you compliant with these rules? We will follow this review with an overview of the final rules adopted in late 2019. These rules include requirements that will require some changes in the way you currently perform the process of discharge planning including the information provided to patients and families. We will also discuss how to assess a patient as you begin to develop your discharge plan on the day of admission. What data sets do you need to include in order to be in compliance with the (CoP)?
Who Should Attend?
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.
Bev Cunningham, MS, RN, ACM is a founding partner of Case Management Concepts, LLC. She has a 25-year deep working knowledge of case management with specific expertise in denials management, the utilization management process, patient flow, and the role of the Case Manager and Social Worker in the Case Management process. She has served as a Commissioner on the Commission for Case Management Certification and is a fellow with the Advisory Board.
She also co-authored the book Core Skills for Hospital Case Managers and wrote a chapter in most recent two editions of CMSA’s Core Curriculum for Case Management. Bev is also the former Vice President of Resource Management at Medical City Dallas Hospital, where she had responsibility for Case Management, Social Work, Health Information Management, Patient Access and Sold Organ Transplant services.
