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Toni G Cesta Bio

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, and other strategies for improving care and reducing cost. 

The author of eight 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.

Dr. Cesta has presented topics on case management at national and international conferences and workshops. She has published extensively including “Nursing Case Management: From Essentials to Advanced Practice Applications". “The Case Manager’s Survival Guide: Winning Strategies for Clinical Practice” which won the AJN Book of the Year award, “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”. 

Toni G Cesta
Toni G Cesta

Bundled Payment Review: How Case Management Can Play a Vital Role

  • Healthcare
  • Mar-06-2019
  • 11:30 AM EST
  • Live Webinar
Key Points: Advanced payment CMS payments Bundled payment Internal transitions External transitions

Fundamental Utilization Management Practices for Value Based World

  • Healthcare
  • From : Jan 31, 2019
  • To : Feb 28, 2019
  • 01:00 PM EST
  • Recorded Webinar
Key Points: Utilization management definition Difference between utilization review and utilization management Medical necessity defined UM processes for, and components of, medical necessity When a patient meets medical neces

Improving Care Transitions: Discharge Planning from Admission to Community Transfer

  • Healthcare
  • From : Jan 18, 2019
  • To : Feb 28, 2019
  • 01:00 PM EST
  • Recorded Webinar
Key Points: Foundation of effective transitional planning Current rules, regulation, and standards for transitional planning Preparing for a CMS survey with the Conditions of Participation for discharge planning Barriers to effe

Fundamental in Hospital Case Management: A Boot Camp Series

  • Healthcare
  • From : Jan 18, 2019
  • To : Feb 28, 2019
  • 01:00 PM EST
  • Recorded Webinar
Overview The rapidly changing healthcare world is altering the role of case management in terms of value-based reimbursement, the Affordable Care Act, the continuum of care, bundled payments, transitions in care, or accountable care orga

Case Management Outcomes Measurement for Effective Practice

  • Healthcare
  • From : Jan 18, 2019
  • To : Feb 28, 2019
  • 01:00 PM EST
  • Recorded Webinar
Key Points: Case management outcomes definition Quality, financial and productivity outcomes affected by a case management department Each set of outcomes, how they are measured and how to select benchmarks for them How to integ

Interdisciplinary Care Rounds: A Key Strategy for Improving Case Management Outcomes

  • Healthcare
  • From : Jan 10, 2019
  • To : Feb 28, 2019
  • 01:00 PM EST
  • Recorded Webinar
Key Points: Joint Commission Safety Standard 2 Vertical versus horizontal communication Crucial conversations Patient care conferences Huddles Internal patient transfers Walking rounds Walking versus bedside rounds Key

Best Practice Utilization Management: 10 Tips for Success

  • Healthcare
  • From : Jan 10, 2019
  • To : Feb 28, 2019
  • 01:00 PM EST
  • Recorded Webinar
Key Points: Business of case management Difference between utilization review and utilization management Compliance of utilization management Access points for utilization management Types of utilization management Denial ma

Acute Care Case Management: Roles, Functions, Models and Staffing Ratios

  • Healthcare
  • From : Jan 10, 2019
  • To : Feb 28, 2019
  • 01:00 PM EST
  • Recorded Webinar
Key Points: Why change your structure now Model of care definition Contemporary case management roles Comparison of two models Integrated model Access point case management in the integrated model Collaborative / Triad Mod

Priming Acute Care Reimbursement: From DRGs to Bundled Payments

  • Healthcare
  • From : Jan 10, 2019
  • To : Feb 28, 2019
  • 01:00 PM EST
  • Recorded Webinar
Key Points:     Diagnosis-related groups (DRG)     Medicare     Medicaid     Managed care definition     Managed care contracting &nbs

Care Coordination: Strategies for Managing Cost and Length of Stay

  • Healthcare
  • From : Jan 10, 2019
  • To : Feb 28, 2019
  • 01:00 PM EST
  • Recorded Webinar
Key Points: Discuss how to improve your length of stay and cost per case through better care coordination Discuss how cost across the continuum affects your hospital’s cost per case Understand where your case management depa

Transitions In Care: A Key Role For RN Case Managers And Social Workers

  • Healthcare
  • From : Jan 10, 2019
  • To : Feb 28, 2019
  • 01:00 PM EST
  • Recorded Webinar
Key Points: Understand transitional planning as a process, not an outcome Discuss the new CMS changes related to transitional and discharge planning and how they can impact your practice Identify best strategies to transition pati
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