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 pre-admission 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 Participations (CoPs): 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.
After attending this session, participants will be able to :
- Understand the best-practice process for discharge planning for the hospital patient.
- Identify the roles of the RN case manager and Social Work case manager in foundational discharge planning.
- Describe the difference between discharge planning and transitional planning.
- Implement an effective hand-off strategy in transitional planning handoffs.
- Define the proposed rules for changes to the Conditions of Participation: Discharge planning.
- Engage team members, both internal and external, in effective transitional handoffs.
- Understand the compliance requirements for hospital discharge planning.
- Develop an outcomes dashboard for hospital discharge planning and transitional handoffs.
Areas Covered In The Session:
- 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
- Next level of care providers
- Hand-off communication
- The interdisciplinary impact on transitional planning
- 7 best-practice strategies for effective discharge planning and transitional handoffs
- The outcomes dashboard for discharge planning
- Directors of Case Management
- Director of Finance
- RN Case Managers
- Directors of Social Work
- Directors of Compliance
- Discharge Planners
- Chief Medical Officers
- Physician Advisor
- Case Managers
- Directors of Quality and Outcomes
- Social Workers
- Any Executive Responsible for Case Management
About The Presenter:
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 is a well-known speaker and expert in the case management process.
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.
You will receive an email with login information and handouts (presentation slides) that you can print and share to all participants at your location.
Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly
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