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Best Practice Transitional Care: Updates for Case Managers

Speaker:

Dr. Toni Cesta, Ph.D, RN, FAAN

Dr. Toni Cesta, an RN by training, is a partner and health care consultant at Case Management Concepts, a consulting company that assists institutions in designing, implementing, and evaluating acute care and community case management models; educating case management professionals; and assisting in 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.

Prior to her current work as a case management consultant, Dr. Cesta was Senior Vice President of 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 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.

Webinar Description:

As any case manager knows, transitions of care across the continuum are the most significant periods in the care of a client. Transitional care planning, the movement of clients from one level of care or care setting, or from one provider to another, can be complex as clients’ needs can be diverse and complicated. Many services are available to assist clients, but navigating such services can be tough.

Transitions of care between settings may be very risky for clients, as suboptimal handoffs and transfer of information can leave clients at risk for undesired outcomes. Case managers need to be acutely aware of how to mitigate risk when transitions occur. The primary goal of the case manager during transitions is to ensure that the client receives the appropriate services in the correct environment with the proper provider in a timely and cost-effective manner.

The Affordable Care Act (ACA) put a spotlight on care transitions, as they can increase the risk of adverse events due to the potential for miscommunication from one care setting to the next. Good transitions of care are crucial for positive client outcomes; therefore, case managers need to be skilled in providing thoughtful planning, creativity, and resourcefulness to negotiate successful transitions. In this session, we will help the case manager refresh important skills-skills that will aid them in assisting clients get the most appropriate care in every setting.

Learning Outcomes:

  1. Understand the differences between discharge planning and transitions of care
  2. Describe risks and poor outcomes associated with transitions of care
  3. Discuss strategies for effective handoffs across the continuum
  4. Develop transitional care plans utilizing best practices of transitional care.

Credit Information:

The Commission for Case Manager Certification (CCMC) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 1 CE contact hour(s). Activity code and Approval number will be awarded on your certificate of completion.

This program has been pre-approved by The Commission to provide continuing education credit to CDMS® board certified disability managers. The course is approved for 1 CE contact hour(s). Activity code and Approval number will be awarded on your certificate of completion.

To earn contact hours/CEs: In order to earn your contact hour(s)/CE, you will have to watch the presentation in its entirety and complete the survey. Once both the presentation and survey are marked as complete, you will receive your Certificate of Completion. If you are a CCM, your CEs will automatically record in your CCMC account.

Disclosures:

Disclosures:All planners and speakers have disclosed that they have no relevant financial relationships with any ineligible companies.

Expiration date: 12/1/2025