In Part 2, you will learn to apply the roles and functions needed in department for best practice models. Toni will discuss other adaptations that can be made to the core models to assist hospitals in their response to health care reform, Accountable Care Organizations, and case management across the continuum of care.
Case management models are the foundation that supports all the work in the case management department. The application of the roles and functions must be within a framework and the model provides that structure. In addition to the roles, functions and model design, appropriate staffing ratios must be used. Gone are the days of the past when case management departments could get by with minimal staffing and no vacancy coverage for vacation, holidays and sick days. Today’s department must be staffed based on ratios that have been tested and are deemed best practice.
Two of the most tested models will be discussed in the context of the healthcare reform landscape and the evolving nature of health care today. Strategies for individualizing these models to your hospital will be explored. We will also discuss the staffing you will need for both nurse case managers and social workers to be successful and to meet your department’s goals and objectives.
Who should attend? Case Management Directors and Managers, Discharge Planning Directors and Managers, Patient Care Services Professionals, Quality Assurance Directors and Managers, Social Workers and Social Service Directors, Utilization Management Directors and Managers
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, providing on-site education to case management staff, and strategies for assisting health care organizations in improving their case management department’s efficiency and effectiveness.