Reduce Readmissions and ED Revisits: Leverage the Latest Models
Karen Zander, RN, MS, CMAC, FAAN
Chris Nesheim, RN, MS, CMAC
Reducing readmissions is essential to your hospital’s bottom line—and it is high on CMS’ radar. The 2015 IPPS final rule raised the maximum Hospital Readmissions Reduction Program penalty from 2% to 3%, underscoring the need for hospitals to focus on successful patient transitions or face a reduction in payments. Learn how to help patients reach their highest level of wellness throughout the continuum while keeping your hospital on track by hearing the story of a health system that sought to reduce readmissions by 15%.
Bring your entire team to this 90-minute webcast as expert speakers Karen Zander, RN, MS, CMAC, FAAN, and Chris Nesheim, RN, MS, CMAC, explain the current state of readmissions, demonstrate new methods and models for reducing readmissions, and illustrate how you can modify risk tools to your organization's needs. They will guide you through the process of cultivating an integrated, interdisciplinary care management team composed of knowledgeable healthcare professionals and external transitional programs that can lead to safe, smooth, and sustained patient care.
At the conclusion of this program, participants will be able to do the following:
- List five lessons learned (principles) from previous nationally recognized projects designed to reduce readmissions of Medicare patients
- Identify pros and cons of current tools used to determine risk of readmission
- Review key strategies for reducing readmissions based on an example of a successful readmissions reduction program
- List five promising new methods to reduce readmissions and ED revisits
- Why should you care about readmissions?
- Conscience of LOS
- Bundled payments
- It’s the "right thing to do"
- Current state of readmissions
- Changes in mind-sets
- Physician and executive-level involvement with case management
- Staying abreast of effective processes for all patients
- Lessons learned from readmission model projects
- Boost, Project RED, Coleman, Naylor, etc.
- Evaluate risk tools at your organization
- Avoid fragmentation and handoffs
- The Lee Memorial experience, a case study based on a health system that successfully reduced readmissions
- Collaboration with skilled nursing facilities and home health agencies
- Community outreach
- Improvement statistics
- Successes and lessons learned
- New research and practices
- Engaging physicians and conducting good follow-up visits
- The effect and reality of poverty on readmissions
- Case management plans in the ED and wrap-around care
- Population management
- Proprietary care transition services
- Mobile health
- Narrow networks
- Enhancing the role of case management professionals and empowering them to work with more autonomy
- Staffing numbers required
- The latest Conditions of Participation
- Knowing what the postacute agencies are, the prices, and their quality
- Collaborating with social workers, nurses, etc.
- Consistent messages and tools across the continuum to eliminate confusion
The planners, presenters, content experts, and contributors have disclosed no real or potential conflicts of interest related to this CNE activity.
Who should listen
- RN case managers
- Social workers and directors
- Transition specialists
- Mobile health professionals
- Revenue cycle managers and directors
- Population health case managers and directors
- Outpatient and medical home care managers
- VP care continuum
Meet the Speakers
Karen Zander, RN, MS, CMAC, FAAN, is president and owner of The Center for Case Management in Wellesley, Massachusetts. Her pioneering work with clinical case management and CareMap® systems, begun at New England Medical Center Hospitals in Boston, is internationally recognized. Hospitals and Health Networks has named her a "Cutting Edge" leader. She is the editor of Managing Outcomes Through Collaborative Care, from the American Hospital Publishing Co, and The New Definition newsletter.
Chris Nesheim, RN, MS, CMAC, is vice president of care management at Lee Memorial Health System in Ft. Myers, Florida, where she is responsible for case management, medical social work, utilization management, the transfer center, and the disease management program. Nesheim has over 25 years of experience in healthcare, and is the recipient of the 2011 Platinum Award for Emergency Department Case Management and the 2014 Platinum Award for Care Transitions.
Webcast system requirements and program materials:
To fully benefit from the webcast experience, please note you will need a computer equipped with the following:
Internet: 56K or faster Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices
Prior to the webcast, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.
COULDN'T LISTEN LIVE?
No problem. The ON-DEMAND version is now available! Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value!
Participation in the webcast is just $259 per site. All materials must be retrieved from the Internet.