Best Practices in Case Management 2021 : Module 5 Recorded Webinar | Beverly Cunningham and Toni G Cesta | From: Feb 17, 2021 - To: Dec 31, 2021 |
Best Practices in Case Management 2021: Module 5 - Measuring the Success of Your Case Management Model
This webinar will discuss and review the expected outcomes of a contemporary case management department. Also included will be a discussion as to how to align these outcomes with the hospital’s strategic plan. This is vital in an era of healthcare reform where quality and cost outcomes affect the hospital’s reimbursement and publicly reported data. Designing a case management report card must start with the identification of the indicators that your department wants to track and trend. Today’s indicators go far beyond productivity measures, but rather embrace all the quality and cost outcomes affected by a case management department. As you select these indicators, you will need to have clear benchmark data that represent national or local standards against which you can measure yourself.
This program will include the most up to date outcome indicators in an age of healthcare reform. Also included will be a discussion of how to report this information and how to use it for performance improvement. Only data can truly tell you how you are doing, and this program will help to get on track to achieving the best outcomes you possibly can!
Areas Covered in the Session:-
Background:-
Managing case management outcomes and the creation of a tool with which to study those outcomes is an important component of the work that case management professionals must engage in. This data helps us to better understand where we are doing well and where we might need to improve. Case management report cards are also a useful tool for reporting data to the Utilization Committee, a requirement under the CMS Conditions of Participation for Utilization Review.
Why Should You Attend?
Case management report cards are an important tool in any case management department’s arsenal. But before you develop a report card, you need to know which data elements you want to track and trend. A comprehensive report card can become of tool for managing the staff and the department, as well as ensuring that the case management outcomes are communicated to all departments and disciplines. Careful selection of the indicators, the benchmarks, and the targets will ensure that your department can show its impact on your hospital’s cost and quality outcomes and the bottom line!
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.
