|
Speaker |
Toni G Cesta |
|
Industry |
Nursing |
|
Speciality |
Nursing |
|
Calendar |
From: Jun 24, 2024 - To: Dec 31, 2024 |
|
Duration |
60 Minutes |
Description
We will begin with a review of the prior rules and from there we will discuss the most recent changes in the Medicare program and how they will impact the roles of the RN case manager and the social worker. Learn how to be sure that your processes address the complexities of the new healthcare environment and that your role as a case manager or social worker is designed and staffed to meet the changes ahead and are in compliance with the federal requirements as well!
Discharge planning is no longer a destination but a process that starts before the patient is admitted to the hospital and continues after they are discharged. The rules alter the ways in which we provide “choice” to our patients. In this program, we will start by reviewing the current rules for discharge planning. Are you compliant with these rules? Family caregivers and physicians are expected to be much more involved than they have been in the past. Be sure you know the old rules and the new rules so that your practice will be current and legal! We will review strategies for integrating these requirements into your daily practice.
Learning Objectives
Background
It is important that all case management professionals, including both nurses and social workers, are familiar with the changes to the Conditions of Participation for Discharge.
The existing rules as well as the new rules added in 2020 require that case management professionals are aware of how these components need to be incorporated into their everyday practice.
Why Should You Attend
The final rules for Discharge Planning arrived after a three-year wait! The Centers for Medicare and Medicaid Services (CMS) have recently added more “teeth” to the discharge planning process as it is outlined in the Conditions of Participation for Discharge Planning.
The CoP is the legal and regulatory requirements that hospitals and case management professionals must follow in order to be compliant in their role as discharge planners. Surveyors are now reviewing your department’s compliance with the Conditions of Participation for discharge planning.
Who Should Attend
(Ph.D., RN, FAAN)
Toni G. Cesta, Ph.D., RN, FAAN is a founding partner of Case Management Concepts, LLC, a consulting company that assists institutions in designing, implementing, and evaluating case management models in the acute care, emergency department, and outpatient settings. Dr. Cesta writes a monthly column called “Case Management Insider” in the Hospital Case Management newsletter in which she shares insights and information on current issues and trends in case management.
Dr. Cesta has held positions as Senior Vice President – Operational Efficiency and Capacity Management at Lutheran Medical Center in Brooklyn, New York where she was responsible for case management, social work, discharge planning, utilization management, denial management, bed management, the patient navigator program, the clinical documentation improvement program, and systems process improvement.
Dr. Cesta has a BS in Biology from Wagner College, a BS in Nursing from Adelphi University, an MA in Nursing Administration from New York University, and a Ph.D. in Nursing Research and Theory Development from New York University. Dr. Cesta is a Fellow of the American Academy of Nursing.