Care Coordination: A Fundamental Role for Managing Cost and Length of Stay
Instructor:
Toni Cesta
Product ID: 705854
Training Level: Basic
- Duration: 60 Min
Why Should You Attend:
Care coordination is one of the key, fundamental roles of the RN case manager and social worker and yet it is often left to the lowest of priorities in our daily work. As a case management professional you must think beyond utilization management and discharge planning and incorporate care coordination into your daily practice. Do you know how to affect a positive outcome in caring for your patients by ensuring that their care is coordinated and facilitated?
You will learn how to apply key strategies for reducing your hospital’s cost and length of stay. In addition you will learn how to appreciate the role of interdisciplinary care rounds in care coordination. You will identify your hospital’s own areas of strength and weakness related to care coordination.
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. Participants will walk away with effective strategies for managing their hospital’s length of stay and cost.
Finally, you will understand the role of the RN case manager in care coordination.
Areas Covered in the Webinar:
- Care coordination’s impact on 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
Who Will Benefit:
- RN Case Managers
- Social Workers
- Directors of Case Management
- Directors of Social Work
- Physician Advisors
- Directors of Finance
- Director of Nursing
Toni Cesta
Consultant and Owner, Case Management Concepts LLC
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.
Dr. Cesta has presented topics on case management at national and international conferences and workshops. Her books include “Nursing Case Management: From Essentials to Advanced Practice Applications”, “The Case Manager’s Survival Guide: Winning Strategies in the New Healthcare Environment”, “The Case Manager’s Survival Guide: Winning Strategies for Clinical Practice”, “Survival Strategies for Nurses in Managed Care” and “Core Skills for Hospital Case Managers”. Dr. Cesta is Consulting Editor of “Hospital Case Management Journal” and “Discharge Planning Advisor”. In addition, she serves as editorial advisory board member of several case management journals and publications including “Strategies for Healthcare Excellence” and “The Journal of Care Management”.
Dr. Cesta has a BS in Biology from Wagner College, a BS in Nursing from Adelphi University, an MA in Nursing Administration from New York University, and a Ph.D. in Nursing Research and Theory Development from New York University.
Dr. Cesta is a Fellow of the American Academy of Nursing. Among her awards are included the “Nursing Service Administration Award” from the New York State Nurses Association, the Jessie M. Scott Award for excellence in research, practice and education from the American Nurses Association, and three “Book of the Year” awards from the American Journal of Nursing. In 2010, she was awarded the Brooklyn Leaders Award from the Arthritis Foundation.
Topic Background:
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. Care Coordination 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. Case management professionals must perform this 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.
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