AUDIOCONFERENCE ON TAPE
sponsored by Discharge Planning Guide: Tools for Compliance
presented on January 26, 2006
FEATURING:
Jackie Birmingham, RN, BSN, MS, CMAC and New York Hospital of Queens Department Head Caroline Keane RN, ANP, MSN, CCM
Discharge planning is required by law, but is also a process that you can leverage to maximize length of stay, support patient throughput and capacity management, and decrease denials.
Listen to industry expert Jackie Birmingham and experienced case management director, Caroline Keane, for this must-hear event. They'll shed new light on how discharge planning, based on federal regulations, can improve your hospital's operations. You'll walk away with a more clear understanding of how 'discharge planning' can support the business side of health care.
Your facility's bottom line and overall quality of care hinges on the effectiveness of your discharge planning process.
In addition, our experts will use case scenarios to illustrate how discharge planning, in the context of case management, affects hospital operations. They'll share proven tips to increase your bottom line without losing sight of the needs of the patient and maintaining quality of care.
LEARNING OBJECTIVES
- Define discharge planning from a federal perspective
- Describe the relationship of discharge planning to case management
- List 5 ways discharge planning/case management can affect business operations
- Identify strategies that can improve the business climate of a hospital
Program Agenda:
- Definition of discharge planning
- Federal definition of discharge planning
- Flow of discharge planning within case management (utilization review)
- 5 ways discharge planning affects "operations" with case study scenarios
- Improve patient throughput and capacity management
- Defend appropriateness of admission and medical necessity
- Prevent/control unnecessary readmission and return to ED
- Influence patient satisfaction and compliance
- Reduce cost, prevent denials, improve appeals
- Problem areas
- Patient throughput/capacity management: Long range 'planning' and short term 'crises'
- Readmission and emergency department services
- Financial - bottom line (reduce cost, expedite services)
6 BONUS TOOLS INCLUDED IN YOUR MATERIAL PACKAGE!
- Copy of Conditions of Participation for Discharge Planning
- Copy of Conditions of Participation for Utilization Review
- References on 'Readmission' - prevention strategies
- References on 'denial management' - prevention and appeals
- Medicare disposition codes and what they mean
- Annotated Web resources
MEET THE SPEAKERS
Jackie Birmingham, RN, BSN, MS, CMAC is vice president for regulatory compliance at Curaspan, Inc. She has over 20 years experience in discharge planning and case management, and is a noted author and frequent speaker. During this period Jackie advocated for the need to address care issues across the continuum and served on a task force for the Joint Commission for Accreditation of Healthcare Organizations (JCAHO). She is a past civilian national consultant on discharge planning to the US Air Force, past president of the American Association for Continuity of Care, served on the task force for standards of practice of the American Case Management Association and in the year 2000 was named distinguished case manager of the year by the Case Management Society of America.
Caroline Keane, RN, ANP, MSN, CCM is director of case management/social work at NYHQ in New York City. She has over 18 years experience in home care, discharge planning, utilization review, appeals and case management. During her time as director, she has computerized the utilization review and discharge process. She has refined delay reporting used to improve hospital finances and is a member of Revenue Cycle and Charge Capture committee. Caroline addresses issues related to the continuum of care and is working on Green belt training using Six Sigma mythology. She serves as the team leader for patient rights and responsibility for hospital wide JCAHO activity.
PROGRAM MATERIALS
Program materials will be provided with PDF links.
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