Access Point Case Management: Managing Your Routes of Entry and the 2- Midnight Rule

Date : May 12, 2022
Time: 01:00 PM ET
Duration: 60 Minutes
Speaker : Dr. Toni G. Cesta

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Description

Overview of the Topic

Access point case managers reside in emergency departments, admitting offices and transfer centers. Among their roles is to ensure that patients are placed in the right level of care upon admission. With the advent of the 2-midnight rule, this role has never been more important.   In addition, they are vital in assisting in readmission reduction, discharge planning and patient flow.

In this webinar we will explore the unique roles of the ED and admitting office and transfer center case managers and social workers and how an initial assessment and clinical review can better ensure that patient are placed in the correct setting right from the get-go. We will review the 2-midnight rule and the part that case management plays in managing it. This can better ensure a reduction in use of Condition Code 44 or self-denials when patients get admitted to the incorrect level. ED staff also assists in reducing unnecessary admission and readmissions.

Learn how to prioritize which patients need case management at your routes of entry and how these positions can assist in-patient case managers as well. We will complete this webinar with a discussion of how to measure the impact of these roles on the department and the hospital.

The role of the case manager and social worker in the emergency department, as well as other routes of entry to the hospital, is critical to the success of any hospital-based case management department. The roles of the case management professionals are unique and specialized to these settings and as such must be clearly defined and understood. Whether you work in the ED or on an in-patient unit, you need to understand the value added by these roles and how they can be best carried out. Case managers and social workers in all settings must work collaboratively so if you want to be as up to date on these important roles, please join us for this important webinar!

 

Learning Objectives 

  1. Review the concept of access point case management
  2. Discuss the role of the RN case manager
  3. Describe the role of the Social Worker
  4. Review the 2-Midnight Rule under CMS
  5. Understand the relationship between the 2 Midnight Rule and case management
  6. Discuss how to prioritize access point patients
  7. Identify the role of through-put at access points
  8. Review the positive outcome achieved by access point case management

 

Areas Covered 

  • Introduction to access point case management
  • Levels of care
  • Role of the RN case manager
  • Role of the social worker
  • Definition of 2-Midnight Rule
  • Role of case management in managing 2-Midnight Rule
  • Prioritizing patients in the emergency department
  • Discharge planning in the emergency department
  • Patient through-put
  • Evaluating emergency department case management outcomes

 

Targeted Audience

  • Director of Case Management
  • Director of Social Work
  • Case Managers
  • Social Workers
  • Vice President of Case Management
  • Physician Advisor
  • Emergency Department physicians
  • Directors of Nursing
  • Directors of Compliance
  • Directors of Finance
  • Directors of Nursing

Speaker

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, providing on-site education to case management staff, and strategies for assisting health care organizations in improving their case management department’s efficiency and effectiveness.

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 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”.

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