Monday, September 8

Main Conference Registration Check In • Exhibits • Continental Breakfast

Developing Key Outcome Measures for Hospital Case Management
Toni G. Cesta, PhD, RN, FAAN
One of the greatest challenges we face is how to best demonstrate case management’s value to our organizations. This session will review a variety of quality and financial outcomes affected by case management interventions. A case management report card will be included.

Documentation Liability for Case Managers
Elizabeth E. Hogue, Esq.
The old saying, “If It Wasn’t Documented, It Wasn’t Done,” still has important legal implications for case managers because they often have the burden of proving that legal and regulatory requirements have been met. What are some general principles related to documentation that should govern all case mangers? What are special documentation concerns for case managers/discharge planners? What are some potential pitfalls related to documentation for administrators? These are the questions to be addressed in this session.

Refreshment Break • Exhibits

The Relationship Between Discharge Planning and Utilization Review: Updates on Rules and Regulations and Implications for Case Management
Jackie J. Birmingham, MS, BSN, RN, CMAC
Federal Rules continue to impact both the financing of health care and the delivery of health care services. The goal of appropriateness of health care delivery hasnever been more important for case managers. This session will address regulations that are promoting the intersection of utilization review and discharge planning into the case management day-to-day operations.

Reimbursement Update
Deborah K. Hale, CCS
The CMS’s ongoing changes to their reimbursement methodologies may leave you asking, “Now what??? This session will provide a high level overview of changes to CMS reimbursement policies for 2009.

Questions and Discussion
Faculty Panel

LUNCHEON PRESENTATION
Taking the War Out of Our Words
Sharon Strand Ellison, MS
Why do people get defensive so easily? Sharon offers insight into the dynamics of defensiveness. Using story, she’ll show how to eliminate power struggle and be simultaneously more honest and compassionate. Join us at this insightful lunch presentation, complimentary for the Hospital Case Management Administration program participants. (CE Credit = 60 minutes)

Partnering with Your Physician Advisor
Karen Games, BSN, RN and
Ronald L. Kaufman, MD, MBA, FACP, FACHE
Having a physician advisor on your table of organization is only part of the solution for the director of case management. The other challenge includes how to best partner with your physician advisor and how to measure the outcomes of the PA’s interventions. This session will focus on the role of the PA, the collaborative relationship between the PA and the director, and metrics for evaluating success.

Key Financial Data Measurements
Brian Pisarsky, BS, RN, ACM, CPUR
This session will focus on identifying the key elements for a departmental dashboard. Emphasis is placed on demonstrating quality outcomes, financial targets, throughput, and patient satisfaction.

Refreshment Break • Exhibits

How to Make Case Management an Integral Part of Your Organization: Strategies for Success
Toni G. Cesta, PhD, RN, FAAN
No case management department can be successful if it functions in a vacuum. In order to be effective the department must communicate and operate both vertically as well as horizontally. This session provides practical strategies and tips for how best to integrate the case management department within the structure of the hospital including administration, finance and ancillary departments such as pharmacy, laboratory, radiology, medical records and admitting.

Questions and Discussion
Faculty Panel

Adjourn

Tuesday, September 9

Hospital Finance 101
Brian Pisarsky, BS, RN, ACM, CPUR
Target Audience: Hospital Case management Administrators and Case Managers. This joint session, offered in both programs will review the key financial elements that every Case Management Department should be monitoring. Included topics are how to design a nimble department that can roll with the ever-changing economic climate, demonstrate innovation in case management practice to support your organization’s key financial targets, and create a business case that demonstrates a return on investment for Case Management services.

Refreshment Break • Exhibits

Foundations for Success with Clinical
Documentation Improvement
Deborah K. Hale, CCS
This session will explore the benefits of a clinical documentation improvement program and provide strategies for determining whether you need to implement one. For hospitals with existing CDI programs, this session will provide strategies for evaluating and improving CDI effectiveness.

Hospital Administrators Networking Lunch Session
You are invited to join your colleagues for an informal networking session. Take advantage of this opportunity to meet with other conference attendees at a roundtable discussion of common issues and challenges in hospital case management administration. For your convenience, a complimentary lunch will be available. This lunch is included in the Hospital Case Management Administration tuition fee.

How to Optimize Your Resources in Fluctuating Times: Putting the Right Persons in the Right Positions
Toni G. Cesta, PhD, RN, FAAN
During times of financial strain, it may not be possible to obtain added resources that contribute to the success of a case management department. By using best practices as the benchmark, this session will explore the process of assessing and evaluating the department’s existing resources to optimize the outcomes of the department.

Refreshment Break

Discharge Planning for Administrators: Writing Policies for Compliance
Jackie J. Birmingham, MS, BSN, RN, CMAC
Knowing the rules that drive practice and what is expected by accrediting bodies will help administrators write meaningful and attainable policies for your organization. This session will address which policies are needed, and what should - or should not - be in those policies.

Adjourn