Description

Case management involves all the procedures revolving patients’ care. For integrating case management across the continuum, providers need to think and work like an Accountable Care Organization (ACO), even if they aren’t one. ACOs are a group of physicians, hospitals, and other healthcare providers which provide coordinated quality healthcare to Medicare patients.

Case management units need to ensure that they offer the hard-wired process of identifying and managing the high-risk patients in any condition – from outpatients to inpatients, from hospital to home or rehabilitation settings, etc.

For a patient’s care, case managers need to involve the patient and his family members regarding decisions and transitions. This session will discuss the strategies as to how to include and communicate to patients’ and their families. We will acknowledge the approaches to coordinate the patients’ transition to various systems and settings such as moving from hospital to rehabilitation centers or home settings and providing healthcare services in multiple settings.

Many factors impacting the integration of case management among providers will also be covered, along with the details of the roles of family, physicians and other healthcare providers in the patient care. Lastly, we will acknowledge the best practice strategies to remove gaps in healthcare systems, so that they do not affect patients.

Learning Objectives:-

• Understand how case management is applied in different settings across the continuum.
• Discuss the vital role of case management in coordinating care across the continuum.
• Identify strategies for eliminating barriers affecting care transitions.

Course Outline:-

• The session will discuss case management as a strategy for linking patients across the continuum.
• There will be a contemporary description of the continuum of care.
• Applications of case management regardless of setting will be reviewed.
• We will also focus on methods for engaging stakeholders in patient care transitions.
• The three components of care transitions will be covered.
• The session will also cover the influences of patient care transitions.
• Internal and external solutions to care transitions will be discussed.
• We will also highlight the methods for developing an ACO mentality.
• There will be a review of community case management.

Why You Should Attend?

Many hospitals participate with the Centers for Medicare and Medicaid Services (CMS) as Accountable Care Organizations (ACO); some do not. The new CMS initiatives require hospitals to think and work like ACO, even if they are not currently working as one. Bundled payments are an example in which quality of care and costs must be managed across the continuum. 

Case managers act as a vital link connecting departments and disciplines around a patient’s care and need as shown by the evidence. The program will provide you with concrete methods for integrating and embedding case management across the continuum of care.

Who Should Attend?

• Director of Case Management
• Director of Finance
• Case Managers
• Social Workers
• Vice President of Case Management
• Directors of Patient Centered Medical Homes
• Home Care Directors and Managers
• Home Care Case Managers
• Community-Based Providers
• Long-Term Care providers
• Community-Based providers
• Community-Based  Case Managers and Social Worker