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Boosting Outcomes in the Medical Home Through Case Management

Learn the Key Responsibilities of Case Managers in the Medical Home Model

About the Webinar

Program Objectives

Webinar Will Answer These Questions

Attend from your desktop or conference room. Invite your whole team to attend at one low price.

Rates: $249 per location (special rate for solo practitioners and the military. Please call 301-354-1769 for promo code)
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According to URAC, the definition of the Patient Centered Health Care Home(PCHCH) is a quality driven, interdisciplinary, clinician-led team approach to delivering and coordinating care that puts patients, family members, and personal caregivers at the center of all decisions concerning the patient’s health and wellness.

One of the critical team members of the medical home is the case manager.

In order for the patient centered health care home model to develop and become high performing, population based case managers are essential as they fulfill their role of coordinator. Through work experience, case managers have the ability and expertise to work with all members of the team to ensure that care is holistic and meets the individual needs of each patient. The case manager has the expertise to educate and engage the patient and ensure the transition of care is streamlined, efficient and cost effective.

Join us for this groundbreaking webinar as we explore the role, function, competencies and value a case manager brings to the medical home model. If you are a physician contemplating practice transformation or looking for ways to better manage complex patients, or if you are a health plan or an individual case manager who wants to learn more about the dynamic role the medical home will play in transforming the healthcare system, register now for the training session Boosting Outcomes in the Medical Home Through Case Management.

By attending this training session you will learn:

How organizations are utilizing case managers to identifying barriers that prevent a patient from adhering to care.
About the outcomes achieved through having a professional case manager in place to transition patients with complex health conditions to avoid readmissions.
How the case manager assists the team with access to resources to meet the diverse needs of the patients and their families.
Why engaging patients to be active participants in their care is essential to preventing readmissions and ultimately containing healthcare costs.
How with the involvement of a professional case manager, proactive management can be put into place to identify early problems that cause setbacks and help to avoid readmissions and improve the quality of care for the patient and the family.

About the Webinar

According to the 2010 Case Management Society of America Standards of Practice, case managers are recognized experts and vital participants in the care coordination team who empower people to understand and access quality efficient healthcare.

The underlying premise of case management is based on the fact that when an individual reaches the optimal level of wellness and functional capability, everyone benefits – from the individual being served to their support system and the various reimbursement sources. Case management services are best offered in a climate that allows direct communication between the case manager, the patient and the members of the team, in order to optimize the best outcome for all concerned.

By having a case manager in place, the Patient Centered Health Care Home team is able to:

Provide comprehensive and individualized access to physical health, behavioral health, and supportive community and social services, ensuring patients receive the right care in the right setting at the right time.
Utilize population-based tools to support and monitor wellness and care goals for each patient, aimed at preventing illness and improving individual well-being, clinical outcomes and quality of life.
Empower patients and their families/caregivers to be active participants in their care, through patient-friendly education and informed shared decision-making that is based on cooperation, trust, and respect for each individual’s health care knowledge and health literacy, values, beliefs, and cultural background.
Ensure accountability for coordinating, providing, and monitoring a patient’s needs, including prevention, wellness, medical and behavioral health treatment, care transitions, and access to social and community services through the creation of an appropriate individual plan of care that meets the needs of the patient and the family.

As the Patient Centered Health Care Home approach to primary care continues to expand, the demand for case management expertise will continue to grow. Partnerships between physicians and case managers will thrive, leading to a level of collaboration that, until now, has been notably absent in the primary care setting.

The Patient Centered Health Care Home brings opportunities for silo’s to be broken down, and multidisciplinary teams to work together to move the healthcare system to a quality driven cost effective system that meets and even exceeds the needs of patients, their families and all members of the healthcare team.

Program Objectives

Discuss the role, value and outcomes including a case manager as a member of the medical home can achieve for a practice and health plan.
Explore how case managers can work to engage patients to understand their role as members of the healthcare team and be active participants to improve their health and healthcare.
Understand the various models of a case management and how each contributes to the mission of the medical home.

Our Webinar Will Answer These Questions

What is the value of having a case manager as part of the medical home team?
What are the various models of case management that a practice can employ?
What outcomes can be achieved with having a case manager as part of the team?
What are the qualifications should physicians look for in a case manager?
What is the pay source for a case manager to be part of the medical home team?
Are there standards of practice that case managers stand behind and provide protection for consumers?
How does having a case manager on the team improve the transition of care?

Faculty

Georgina K. Davison, R.N., C.C.M. is Clinical Manager of UPMC Health Plan Patient Centered Medical Home. Her back-round includes 19 years in Managed Care with experience in Utilization Management, 17 years in Intensive Case Management and 12 years in Disease Management managing Commercial, Medicaid, Medicare, Dual Eligible and CHIP populations. As a former Manager of the Maternal Child Programs with the Health Plan and through collaboration with the Sr. Management Team, she was given the opportunity to develop relationships with community resources to enhance the maternity benefits for the high risk maternity population.

Mary Ellen Gervais, PhD, RN, CCM, is vice president of InforMed Medical Management Services, and a registered nurse with more than 20 years of case management experience. She has a PhD in health related science from Virginia Commonwealth University with a focus on health administration. She is involved in the ongoing development of an integrated case management software system which guides case managers in evidence-based case management and which incorporates mechanisms to measure both intermediate and end outcomes.

Kathleen Trainor Grieve, RN, BSN, MHA, CCM, joined Johns Hopkins Healthcare in January 2003. In her current role as a Guided Care Nurse, she partners with five primary care physicians and a nurse practitioner to care for their most complex, high-risk, older patients to improve the quality and efficiency of patients’ healthcare and patients’ and caregivers’ quality of life. She has experience speaking nationally and internationally on the subject of Guided Care. Kathleen is an instructor with The Johns Hopkins School of Nursing, facilitating their online Guided Care course. She has also served on a committee developing the ANCC exam, which leads to a certificate in Guided Care.

Moderator:
Anne Llewellyn RN-BC, MS, BHSA, CCM, CRRN
Editor in Chief, Case Management Products
Dorland Health, a division of Access Intelligence

Who Should Attend

Physicians
Nurse Practitioners
Physician Assistants
Pharmacists
Nurse Case Managers
Social Workers

Quality Improvement Professionals
Behavioral Health Professionals
Managed Care Directors
Benefit Design Professionals
Practice Management Professionals
Patient Centered Medical Home Consultants

Purchase Options

Live Webcast Registration – $249 (per-site fee)
Webcast Recording on CD-ROM – $249
Live Webcast and CD-ROM – $299
special rate for solo practitioners and the military. Please call
301-354-1769 for promo code

About URAC

URAC has developed its Patient Centered Health Care Home (PCHCH) programs to educate and guide health care practices, and their sponsoring health plans, insurers and pilot programs through transformation into truly patient-centered health care homes. Learn more »

Questions?

For questions regarding the Webinar or to register by phone, contact Hope Kabik at 301-354-1769.

For content questions regarding this Webinar, contact Anne Llewellyn at 954-254-2950 or email allewellyn@dorlandhealth.com.

*Dorland Health does not offer any refunds for the webinar. All sales are final.

For technical support questions, you can contact the Webex technical support line at 1.866.229.3239.

How Does the Webinar Work?

The live audio is delivered to your location over the telephone or your computer speakers. The Power-Point presentations are presented over the Internet and are available to print out before the program. This is like a talk-radio program with visuals on the Web. You and your team will be able to have a live Q&A with all the speakers.

More details on webinar equipment and connections