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THE CMS CONDITIONS OF PARTICIPATION FOR DISCHARGE PLANNING

 * SPEAKER : TONI G CESTA

   

 * RECORDED WEBINAR

 * CODE : TONI-0012

 * DURATION : 60 MINUTES

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 * Description
 * Speaker Profile

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, educating case management professionals and assisting in the
implementation of case management departmental changes. 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. Dr. Cesta has also held
positions as Corporate Vice President for Patient Flow Optimization and Director
of Case Management. She 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.

This program will review the current rules and regulations from the Conditions
of Participation (CoP) 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. This will
be followed by a review of the changes to the Conditions of Participation for
Discharge Planning that were announced in October 2019 for Federal Fiscal Year
2020. From here we will then discuss these most recent changes from 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!

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. 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 proposed and actual changes to the Conditions of Participation for Discharge
Planning will likely have profound effects on how case management departments
organize their work. It will also affect the workloads of RN case managers and
social workers. Patients in ambulatory settings such as out-patient surgery,
outpatient procedures, and emergency departments may need to be assessed for the
purpose of creating a discharge plan. Family caregivers and physicians will be
expected to be much more involved than they have in the past.

Areas Covered    

 * Conditions of Participation (CoP) for Medicare
 * Current CoP for Discharge Planning
 * Proposed rules for discharge planning
 * New rules for 2020
 * Strategies for managing the Discharge Planning CoP
 * How to maintain compliance

Course Level - Fundamental

Who Should Attend


 * RN Case Managers
 * Social Work Case Managers
 * Compliance Officers
 * Hospital Director of Case Management
 * Hospital Director of Finance
 * Vice President of Case Management
 * Directors of Nursing 

Why Should You Attend



 * Understand what the CMS Conditions of Participation are and how they guide
   the practice of the RN case manager and social worker
 * Review the current Conditions of Participation Discharge Planning rules
 * Learn the new CMS rules for discharge planning
 * Be able to identify any gaps in your discharge planning process related to
   the current versus the proposed rules
 * Ensure that you are current and compliant with the current rules for
   discharge planning
 * Understand any misconceptions that are in the field related to discharge
   planning, especially related to the ‘choice list’


 * $200.00

 * Enroll Now


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