Care coordination is one of the four key roles that hospital case managers and social workers perform. The other roles include utilization management, discharge planning, and resource management. It is integral to managing cost and length of stay. Nevertheless, it is often overlooked or under-performed. This is sometimes due to workload issues and/or understaffing. Other times it is due to a lack of focus on this area of work.
This program will review the elements that most greatly impact on cost and length of stay by focusing on care coordination as one of the key strategies for successful reductions of these metrics.Care coordination, as one of the main roles of the RN case manager, is complex and includes many characteristics that encompass the role.These will be covered as well as those elements that have the greatest negative impact on care coordination.Those that have the greatest positive impact will be discussed in detail.Working with teams to enhance care coordination, as well as rounds and huddles, will be discussed. Participants will walk away with effective strategies for managing their hospital’s length of stay and cost.
Case management professionals must perform this role in their daily practice. No other department or discipline owns care coordination in the way that we do and so we must understand how best to coordinate care and how to integrate care coordination into our daily practice. We provide leadership in cost and length of stay reduction and care coordination is a fundamental way in which to achieve these outcomes.
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”.