Case Management at Your Hospital's Points of Entry
Product Description:
AUDIO CONFERENCE ON CD OR AUDIO ON-DEMAND
Sponsored by: Case Management Monthly
presented on February 24, 2009
How do you increase bed availability, save money, AND prevent denials?
Experts Mary E. Williams, BA, ACM, and Doreen Farma, RN, CPUR, are ready to tell you how.
When a patient who doesn’t meet admission criteria gets admitted into the hospital, it costs your hospital precious dollars and puts it at risk for denials. Learn how to implement a gatekeeping process to admit only necessary patients, assign them to the appropriate level of care, and move them smoothly through the care continuum.
Listen to Case Management at your Hospital’s Points of Entry: A Gatekeeping Process to Save Days and Dollars with speakers Mary E. Williams, BA, ACM, and Doreen Farma, RN, CPUR. During this 90-minute program, you will gain effective intervention strategies at hospital points of entry such as the emergency department, direct admissions, obstetrics, outpatient surgeries, and more. Learn creative care alternatives for patients who don’t meet admission criteria, ensure medical necessity throughout a patient’s stay, and achieve savings that go straight to your bottom line.
LEARNING OBJECTIVES
- Identify at least three ways patients get admitted to the hospital
- Implement a process to evaluate patients’ appropriate level of care needs
- Recognize at least two financial benefits of a hospital gatekeeping system
TAKE A LOOK AT OUR AGENDA
I. Case management interventions at hospital points of entry
A. Emergency department
B. Obstetrics
C. Direct admits
D. Outpatient surgical procedures
II. Finding the appropriate level of care for each patient
A. Alternatives for patients who do not require hospital-level care
B. Evaluating medical necessity on an ongoing basis
C. Challenging scenarios
III. Financial effects of a solid gatekeeping system
A. Total bottom line savings
B. Savings through accuracy of billing
1. Decrease in number of denials
2. Prevent RAC audits
IV. Question and answer session
BONUS TOOLS INCLUDED IN YOUR MATERIALS PACKET!
In addition to the expertise and advice presented during this audio conference, you'll also receive these helpful “take-aways” provided within your materials packet:
- Sample prescription voucher process for indigent patients policy
- Outpatient observation care form
- Sample case management admission protocol
- Sample discharge planning worksheet for insufficiently funded patients
- Worksheet for indigent prescriptions
- Key job descriptions
- Dashboard of savings
MEET THE SPEAKERS
Mary E. Williams, BA, ACM, is an accredited case manager for Morton Plant Mease Health Care in Dunedin, FL. Mary has more than 35 years of experience as a counselor, manager, and planner within a large university-health environment and a multi-hospital community-based system, serving diverse urban and suburban populations. She has a solid record of assisting people to utilize and develop their strengths in times of illness, crisis, and life changes. Mary is skilled at assessing and providing practical application of community resources, supportive counseling along with direct services implementation and resource coordination. Mary is very active with the American Case Management Association both on a state and national level where she has presented for her peers. Mary is also a long standing member of both the Morton Plant Mease Health Care ethics committee and the Hospice of the Florida Suncoast ethics committee.
Doreen Farma, RN, CPUR, has been in healthcare for 28 years and a registered nurse for 20 years. Doreen is currently an emergency room case manager at Mease Dunedin Hospital in Dunedin, FL. She has been with the case management department for 12 years as a clinical resource coordinator and was also a case management lead RN for three years. Her areas of experience include case management, med/surg, high risk OB, labor and delivery, mother baby nursing and peri-natal loss. Doreen is a current member of the American Case Management Association and has been a presenter at the 2006 ACMA National Conference and at the 2006 Morrisey and Associates Annual User’s Group. She has been a facilitator for her facility’s case management internship program providing education for new interns as well as being a preceptor/mentor for new team members.
WHO SHOULD LISTEN?
Case managers, directors of case management, utilization review nurses, compliance officers, quality and performance improvement managers, and social service directors.
AUDIO ON-DEMAND
In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or an audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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