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 patients across the continuum of care, including how to align with those case managers in the post-acute care level of care

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

Description:

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 follows beyond discharge and through the continuum of care. The Centers for Medicare and Medicaid Services have proposed more “teeth” to the process, with proposed updates to the discharge planning section of the Conditions of Participation.

This program will review the most recent reimbursement challenges from the Medicare program as well as strategies for safely transitioning your patients across the continuum of care.  Effective transitional plans can improve your hospital’s value-based reimbursement.  Also, we will review how to engage other members of the interdisciplinary care team in the process of planning for the patient’s movement across the continuum including verbal and written hand-off communication. Transitional planning is no longer a destination but a method!  Learn how to be certain that your processes address the complexities of the new healthcare environment.  Ensure your alignment with your post-acute care providers.

Why Should You Attend?

As case management professionals we need to understand the best practice processes for managing our patient transitions through the continuum of care.  We can no longer consider our job done when the patient leaves the hospital but must consider how they will manage at the next level of care and beyond. This requires a thorough understanding of the pitfalls and gaps in care that can occur each time a patient transitions from one level of care to another.  Are you up-to-date on what CMS is testing and has implemented to move healthcare toward a more continuum of care focus? This program will tell you what has changed and what you can do about it!

Topics covered in Webinar:
  • Transitional planning as a process
  • CMS’s transitional care management services
  • Case management transitions
  • Admission assessments
  • Social work triggers
  • Home care triggers
  • Influences on transitional planning
  • Latest changes in discharge planning from CMS
  • Communicating across the continuum of care
  • Next level of care providers
  • Hand-off communication
  • The interdisciplinary impact on transitional planning
  • Transitions time-outs
  • How to hard-wire your processes
Who Should Attend?
  • RN Case Managers
  • Social Workers
  • Directors of Case Management
  • Directors of Social Work
  • Post-Acute Care Providers
  • Home Care
  • Physician Advisors
  • Directors of Finance

 

 

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Recorded $ 213.00
Transcript $ 213.00
DVD $ 223.00
Recorded + Transcript $ 303.00
DVD + Recorded $ 313.00
DVD + Transcript $ 313.00
Total $ 0.00

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