Bundled Payment Review: How Case Management Can Play a Strategic Role
Instructor:
Toni Cesta
Product ID: 705119
Training Level: Basic to Intermediate
- Duration: 60 Min
Why Should You Attend:
This webinar will set the foundation for the execution of bundled payments. It will review the essential roles for case managers and others, both in the hospital and outside the hospital, and transitional strategies across the internal and external care continuum. Outcomes to ensure optimal transitional strategies will be reviewed. Additionally, this webinar will assist those not involved in a bundled payment program to prepare for future readiness. Whether your hospital is part of a bundled payment program or not, you will need to prepare as it is likely that bundled payment programs will continue to roll out, and will become a mandatory payment method.
The program will review how case managers can work across the continuum of care to support the bundled payment initiatives both within the hospital and across the continuum of care.
Learning Objectives:
By attending this webinar, attendees will be able to become familiar with the following:
- Understand how bundled payments actually work as they move from demonstration to reality.
- Review the financial risks your hospital may have as bundled payments ramp up.
- See where your hospital’s vulnerabilities may be in managing bundled payments.
- See how your case management department can prepare for bundled payments.
- Discuss how case management must become a fully integrated, across the continuum model.
Areas Covered in the Webinar:
- The bundled payment model initiatives
- Strategies for effective internal transitions
- Strategies for effective external transitions
- Outcome measures impacted by case managers in internal and external transitions
- Ways in which case managers and social workers can have a positive impact on bundled payment’s effect on hospital finances
Who Will Benefit:
- Director of Case Management
- Director of Finance
- Case Managers
- Social Workers
- Vice President of Case Management
- Directors of Patient Centered Medical Homes
- Home Care Directors and Managers
- Home Care Case Managers
- Community-Based Providers
Toni Cesta
Consultant and Owner, Case Management Concepts LLC
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, new documentation systems, and other strategies for improving care and reducing cost. The author of nine 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.
Prior to her current work as a case management consultant, Dr. Cesta was Senior Vice President – Operational Efficiency and Capacity Management at Lutheran Medical Center in Brooklyn, New York. 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. Prior to her position as Senior Vice President at Lutheran Medical Center, Dr. Cesta has held positions as Corporate Vice President for Patient Flow Optimization at the North Shore – Long Island Jewish Health System and Director of Case Management, Saint Vincents Catholic Medical Centers of New York, in New York City and also designed and implemented a Master’s of Nursing in Case Management Program and Post-Master’s Certificate Program in Case Management at Pace University in Pleasantville, New York. Dr. Cesta completed seven years as a Commissioner for the Commission for Case Manager Certification.
Dr. Cesta has been active in the research and development of case management for over 25 years. Her research in case management has included two funded studies measuring the effects of a case management model on congestive heart failure and fractured hip patient populations, with measures of patient satisfaction, quality of life, and short and long term clinical perceptions and outcomes.
Dr. Cesta has presented topics on case management at national and international conferences and workshops. Her books include “Nursing Case Management: From Essentials to Advanced Practice Applications”, “The Case Manager’s Survival Guide: Winning Strategies in the New Healthcare Environment”, “The Case Manager’s Survival Guide: Winning Strategies for Clinical Practice”, “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”.
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. Among her awards are included the “Nursing Service Administration Award” from the New York State Nurses Association, the Jessie M. Scott Award for excellence in research, practice and education from the American Nurses Association, and three “Book of the Year” awards from the American Journal of Nursing. In 2010, she was awarded the Brooklyn Leaders Award from the Arthritis Foundation.
Topic Background:
The Centers for Medicare and Medicaid Services (CMS) has been planning for some time (with the implementation of the Balanced Budget Act) to share the burden of costs with providers. Sharing of costs has been evidenced with value based purchasing, which demonstrated a transition from payment for volume to payment for value. Now the cost sharing process is transitioning to providers. Hospitals, in the bundled payment programs, are now assuming financial responsibility for more than just the acute care episode. These changes place greater risk on providers of care and require a comprehensive across-the-continuum approach using case management as the driver of the process.
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Refund Policy
Our refund policy is governed by individual products and services refund policy mentioned against each of offerings. However in absence of specific refund policy of an offering below refund policy will be effective.
Registrants may cancel up to two working days prior to the course start date and will receive a letter of credit to be used towards a future course up to one year from date of issuance. ComplianceOnline would process/provide refund if the Live Webinar has been cancelled. The attendee could choose between the recorded version of the webinar or refund for any cancelled webinar. Refunds will not be given to participants who do not show up for the webinar. On-Demand Recordings can be requested in exchange. Webinar may be cancelled due to lack of enrolment or unavoidable factors. Registrants will be notified 24hours in advance if a cancellation occurs. Substitutions can happen any time. On-Demand Recording purchases will not be refunded as it is available for immediate streaming. However if you are not able to view the webinar or you have any concern about the content of the webinar please contact us at below email or by call mentioning your feedback for resolution of the matter. We respect feedback/opinions of our customers which enables us to improve our products and services. To contact us please email [email protected] call +1-888-717-2436 (Toll Free).
