Care Coordination: An Important Case Management Role for Managing Cost and Length of Stay
Product ID : TONI-0014
Level : Intermediate
Duration : 60 Miniutes
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.
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 on cost and length of stay by focusing on care coordination as one of the key strategies for successful reductions of these metrics. Care coordination, as one of the main roles of the RN case manager, is complex and includes many characteristics that encompass the role. These will be covered as well as those elements that have the greatest negative impact on care coordination. Those that have the greatest positive impact will be discussed in detail. Working with teams to enhance care coordination, as well as rounds and huddles, will be discussed. Often considered the “lost” role of case management, participants will walk away with effective strategies for managing their hospital’s length of stay and cost.
Care coordination is one of the four key roles that hospital case managers and social workers perform. The other roles include utilization management, discharge planning, and resource management. It is integral to managing cost and length of stay. Nevertheless, it is often overlooked or under-performed. This is sometimes due to workload issues and/or understaffing. Other times it is due to a lack of focus on this area of work.No matter the reasons, case management professionals must embrace this role in order to assist hospitals in managing cost, quality, and length of stay.
- Care coordination’s impact on the length of stay and cost
- Negative impacts on care coordination
- Positive impacts on care coordination
- Five key elements of care coordination
- Strategies for evaluating your hospital’s own areas of inefficiency
- Effective time-out processes
- Rounds and huddles
Course Level - Basic
Who Should Attend
- Director of Case Management
- Case Managers
- Social Workers
- Vice President of Case Management
- Director of Quality
- Nursing Director
- Nursing Vice President
- Physician Advisor
Why Should You Attend
Case management professionals must perform the care coordination role in their daily practice. No other department or discipline owns care coordination in the way that we do and so we must understand how best to coordinate care and how to integrate care coordination into our daily practice. We provide leadership in cost and length of stay reduction and care coordination is a fundamental way in which to achieve these outcomes.