Case Management and Care Coordination: Beyond a Care Transition

Presented by

Rebecca Perez, MSN RN CCM

Sr. Manager of Education and Strategic Partnerships & CMSA Foundation Executive Director, Case Management Society of America

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Summary: 

Care transitions are a priority for all health care stakeholders and much work has been done in recent years to develop processes, incentives, disincentives, and metrics to improve transitions and prevent readmissions. Much has been published about transition management, and organizations are very focused on the process, so why are readmissions still a concern.

Approaching a transition as part of a continuum of care rather than a focused episode is a strategy that has resulted in reduced readmissions. Engaging case/care management with the care transition team will demonstrate improved outcomes, and in many cases, improved quality of life. This presentation will demonstrate the value of case/care management when included as part of care transitions, especially for those with multiple chronic conditions.

Objectives:

• Analyze the causes of readmission regardless of transition process.

• Comprehend the integral role of case/care management support of a transition process.

• Discover the value and return on investment of case/care manager supported transitions.     

Speaker Bio:

Rebecca is an experienced Registered Nurse with a Master’s Degree in Nursing, is a Certified Case Manager, and a member of the Gamma Omega Chapter of Sigma Theta Tau International Nursing Honor Society. She is the author of numerous professional articles, a co-author of CMSA’s Integrated Case Management: A manual for case managers by case managers, developer of the Integrated Case Management Training Program, and Maser Trainer. She recently joined Parthenon Management Group as the Senior Manager of Education and Strategic Partnerships for the Case Management Society of America.