Improving Case Management Discharge Planning

Why Should You Attend:

Discharge planning has become more than just the movement of the patient out of the hospital. It is a “process” that starts at the point of admission and/or preadmission and transitions beyond discharge. The Center for Medicare and Medicaid Services (CMS) has recently added more “teeth” to the process in their proposed rules. This webinar will discuss the foundation of best-practice discharge planning for the RN Case Manager and Social Work Case Manager in the hospital. Additionally, the proposed changes to the Conditions of Participation: Discharge Planning by CMS will be reviewed.

Handoff planning, a newer term, describes the transition of your acute care patients to post-acute care providers. Included will be best-practice strategies for safely transitioning your patients across the continuum of care, as well as supportive case management roles for discharge planning outcomes. Lastly engage other members of the interdisciplinary care team in the process of planning for the patient’s movement across the continuum including internal and external care providers. Transitional planning is no longer a destination but a process! Learn how to ensure that your processes address the complexities of the new healthcare environment.

Areas Covered in the Webinar:

• Transitional planning as a process
• CMS’s transitional care management services
• Case management transitions
• Role of RN case manager and social work case manager in discharge planning
• The admission assessment role in the discharge plan
• Triggers for social work consults in complex discharge planning
• Supportive case management roles for discharge planning: perioperative case manage, complex discharge planning case manager, case management assistant
• Influences on transitional planning
• Discharge planning compliance
• Proposed changes for Conditions of Participation: discharge planning from CMS
• Communicating across the continuum of care
• The interdisciplinary impact on transitional planning
• The outcomes dashboard for discharge planning

Who Will Benefit:

• Directors of Case Management
• RN Case Managers
• Social Work Case Managers
• Directors of Finance
• Directors of Social Work
• Physician Advisors
• Chief Medical Officers
• Any Executive Responsible for Case Management

Bev Cunningham
Consultant, Case Management Concepts LLC

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, patient flow and the role of the Case Manager and Social Worker in the Case Management process. Bev is also a certified case manager with the American Case Management Association. She has served as a Commissioner on the Commission for Case Management Certification and is a fellow with the Advisory Board. Bev is also the former Vice President of Resource Management at Medical City Dallas Hospital.

She has co-authored a book for hospital case managers—Core Skills for Hospital Case Managers and has written the utilization management chapter in the past two editions of CMSA’s book, Core Curriculum for Case management.

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