NexGen Hospital Case Management *(Ethics Alert!)

Transformation to Value-Based Care Coordination

Timeslot: Thursday, February 28, 2019 - 1:00pm to 2:00pm
Session Type: General Session
Room: Maryland Ballroom 4 / Ballroom Level


*This session is pre-approved for 1 CCM and CDMS Ethics continuing education credit. 

Hospital case management has been around for 30 years and continues to evolve. While many hospitals still rely on the discharge planning – utilization review framework popular in the 1990s, the move to value-based care coordination is gaining momentum as the marketplace shifts to new payment models, new delivery systems, at risk ACO contracts and population health. Hospital executives are cautiously preparing for a value-based environment through innovative disruption of the facility's case management program. Despite the uncertainties of the political landscape, healthcare organizations across the county are diving into initiatives that will help them succeed under emerging models.

Learning Outcomes

  • Describe the impact the changing marketplace has on hospital case management programs.

  • Discuss why pro-active advocacy is the care manager’s primary ethical obligation and how it is translated into practice.

  • Explain the difference between patient reported outcome measures and process improvements