Nursing CE Series: Case Management Strategies for Complex Cases
Earn 1 nursing contact hour and 2 CCMC units!
Earn 2 continuing education credits!
Complex cases are a regular occurrence for every case manager. Whether it's dealing with mental health or substance abuse issues or complex medical/surgical patients, case managers must develop a safe discharge plan while also keeping an eye on LOS and resource utilization. Handled improperly, complex cases increase your risk for denials, increased LOS, and even poor patient outcomes.
Help is here!
HCPro introduces: Case Management Strategies for Complex Cases. This online learning course is designed to provide hospital case managers with the tools and information they need discharge complex-case patients in a timely and safe manner, so the facility does not receive denials for care rendered, and the patient has a secure place to go.
Learners will walk away with a firm grip of proven, practical approaches they can easily incorporate into their case management practices to better manage complex cases. It covers the High-Average-Low (HAL) Competency Measurement model and walks learners through four real-life complex cases.
The High-Average-Low (HAL) Competency Measurement model was developed by Della Webb, LCSW, CCM, of Piedmont Hospital in Atlanta. This model empowers case management teams to approach complex cases more effectively. Using four fundamental principles, case managers are able to determine their comfort level with cases before seeking resources. It allows case managers to identify their strengths, weaknesses, resources, and learn how cultural beliefs and past experiences factor into the handling of each patient.
After course completion case managers will have the skills they need to:
- Reduce unnecessary hospitalization days
Boost your bottom line!
- Achieve greater job satisfaction
Increase staff retention rates!
- Gain confidence when approaching a new case
No matter how complex the case may be, it's the key to an effective case management strategy
- Use resources appropriately and effectively
Knowing all of your options—it's your best bet for success!
- Reduce the number of staff hours spent on a complex case
Case managers will feel more competent and be more efficient when managing complex cases
Upon completion of this course the learner will be able to:
- Discuss the balance that case managers must achieve between length of stay (LOS) and patient care for complex patients
- Assess case manager's strengths and weaknesses using the HAL model
- Recognize personal conflicts that interfere with patient care
- Describe when it is appropriate to ask for ethics consults
- Identify steps to take in order to protect elderly patients who are the victims of elder abuse
- Describe resources and community supports available for uninsured patients
- Identify what services Free Care covers for uninsured patients
- Identify how a sponsor can help reduce long LOS and high resource utilization
- Case managers
- Directors of case management
Table of Contents
II. How to use the HAL (High-Average- Low) Measurement model
III. Complex case #1
Ethics consult helps convince a difficult physician to implement a plan of care
IV. Complex case #2
Considering the patient's best interest, payment, and bed capacity while managing a case
V. Complex case #3
A case manager thinks outside the box when planning discharge for uninsured patient
VI. Complex case #4
A non-compliant patient incurs extreme costs and extended length of stay (LOS)
Plus, you'll have the opportunity to earn 1 nursing contact hour and 2 CCMC units!
June Stark RN, BSN, Med, is the director of case management at Salem Hospital and North Shore Medical Center in Massachusetts. Stark is also an associate consultant for The Center of Case Management in Natick, Massachusetts. Stark was involved in the development of case management at New England Medical Center in the 1980s, and worked as the Director of Case Management at Saint Elizabeth's Medical Center in Brighton, MA. She has made giant leaps in helping her staff manage complex cases more effectively using her outcome driven model. Using a system that includes peer-review, consultations with a physician advisor, and appropriate data and resource utilization her staff has been able to cut costs and improve patient outcomes.
Earn Continuing Education Credit!
This program has been approved by the Commission for Case Manager Certification for 2.0 Continuing Education Units.
This educational activity for one nursing contact hour is provided by HCPro, Inc. HCPro, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This program is pending approval for 1 clock hours by the Commission for Case Manager Certification. Credit valid through December 31, 2005.
June Stark has signed a vested interest form declaring she is an author of an HCPro publication Managing Complex Cases: A Study Guide for Case Managers.
Benefits of Online Learning at www.hcprofessor.com include:
- Tough questions (and answers) about confusing regulatory standards
- Steps on how to solve pressing nursing needs
- Instant test scores
- Case studies
- Test until success: The option of taking the exam as often as you need during password access
- Certificate of completion
- Student course history and documentation of training
- Discussion groups
- Note-taking and bookmark options
- Internet resources on guidelines and regulations
- Reference materials and recommendations on how to progress to the next step in your courses
- PC users must use Internet Explorer 4.0 or above
- MAC users must use Netscape Navigator 4.0 or above (the use of Internet Explorer may cause technical difficulties)
- Some courses and quizzes may require Adobe Acrobat Reader. To download Adobe Acrobat Reader, click here.
- Try our FREE DEMONSTRATION for both MAC and PC users
For full course descriptions, outlines, and special combination deals, go to www.hcprofessor.com.
Online learners will get 30-day access to the course materials and will be e-mailed their user name and password within 24 to 48 hours after payment has been received.
If you have questions, e-mail Customer Service or call 877/727-1728.
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