Nov
20
12:00 PM12:00

Advancing Case Management’s Health Equity Pillars for Serious Illness (HEP-SI)

  • National Transitions of Care Coalition (map)
  • Google Calendar ICS

Advancing Case Management’s Health Equity Pillars for Serious Illness (HEP-SI)

Presented by

Dr. Ellen Fink-Samnick
DBH, MSW, LCSW, ACSW, CCM, CCTP, FCM

Health equity is an integral factor of any quality healthcare equation. This theme is equally powerful in the end-of-life, or serious illness space. Timely palliative and hospice referrals are delayed by ongoing misconceptions of their intent by patients and practitioners. Cultural competence impacts ethical conversations by case managers about patient autonomy, prognosis, and quality of life. Implicit biases impede effective pain management across ethnicity, gender, and race, among other groups. Further barriers to care access for minoritized and marginalized populations are amplified by their lack of access to clinical trials, which adds another obstacle to advancing appropriate care. ‘Patient-centric care’ is no longer enough. Every patient and family should feel safe, seen, heard, and valued, and through every touchpoint of care. Yet, achieving this reality is case management’s latest challenge.

Learn how Case Management’s Health Equity Pillars for Serious Illness (HEP-SI) fuse clinical guidelines, accreditation and other regulatory requirements to expand your practice. Ensure ethical and compliance balance amid the ongoing health equity evolution. Advance your practice approach from “Patient-centric” to “Patient-inclusive”.
Behavioral Learning Objectives:

Attendees of this presentation will be able to:

  1. Explore the intersections between health equity, social determinants of health, and serious illness.   

  2. Apply case management’s Health Equity Pillars for Serious Illness (HEP-SI) to their practice population.

  3. Cite case management’s established resources of guidance (e.g., professional regulations, accreditation standards, clinical guidelines, standards of practice, ethical codes). 

Dr. Ellen Fink-Samnick is an award-winning industry entrepreneur who empowers healthcare's interprofessional workforce. She is known as Professional Case Management’s Ethical Compass, and for her work in Health Equity, Integrated Care, Interprofessional Teams, Professional Case Management, Quality, and Trauma-informed Leadership. Dr. Fink-Samnick is the author of 5 books, including her recent publicationThe Ethical Case Manager: Tools and Tactics. Her 6th title, Behavioral Health for Case Management, will be published by the Case Management Institute and Blue Bayou press in January 2025. She is also editing her first book, Integrated Behavioral Health: Applying the Biodyne Model in Healthcare, to be published by Routledge in January 2026.

Dr. Fink-Samnick has a Doctorate in Behavioral Health with specialization in Health Equity, Integrated Care, Quality, Leadership, and Trauma-Informed Practice. She is a Licensed Clinical Social Worker, Board-certified Case Manager, and Certified Clinical Trauma Professional. Dr. Fink-Samnick is a Fellow in Case Management through the Case Management Society of America, a Fellow for RISE Association, and member of the academic honor society, Delta Epsilon Tau.

Dr. Fink-Samnick serves the industry through assorted roles with academic appointments at Cummings Graduate Institute of Behavioral Health Studies and George Mason University’s College of Public Health. Dr. Fink-Samnick is moderator of Ellen’s Ethical Lens on LinkedIn and author of the blog, Ellen’s Interprofessional Insights. She is a consultant for the Case Management Institute and a moderator for their Case Managers Community. Dr. Fink-Samnick is Editor of the Heartbeat of Case Management Column for Wolters Kluwer’s Professional Case Management Journal, and member of the journal’s editorial advisory board. ​

Dr. Fink-Samnick is known for her fierce professional voice. Along with leadership and committee roles across credentialing entities and professional associations, she has shared her expertise withAHIMA’s Data for Better Health Initiative, The Gravity Project, the Coalition for Social Work and Health, and RISE Association. Dr. Fink-Samnick currently serves on the national board of directors for the National Transitions of Care Coalition and is current Vice-Chair of CMSA’s Diversity, Equity, Inclusion, and Belonging Core Committee. Further information is available on her LinkedIn Profile.



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Oct
15
12:00 PM12:00

"Supporting Nutrition Through Transitions of CareMedical Nutrition Therapy (MNT)"*

  • National Transitions of Care Coalition (map)
  • Google Calendar ICS

"Supporting Nutrition Through Transitions of CareMedical Nutrition Therapy (MNT)"*

Presented by Carly Léon
Director of Healthcare Policy and Payment 
Academy of Nutrition and Dietetics


                                               

 Register   Here
                             

SUMMARY: Supporting Nutrition Through Transitions of Care Medical Nutrition Therapy (MNT) is an evidence-based, patient-centered service provided by Registered Dietitian Nutritionists (RDNs) that is often delivered over multiple sessions to manage nutrition-related conditions and improve health outcomes. As patients transition between care settings—whether from one facility to another or from a facility to home—ensuring the continuity of the nutrition care plan and ongoing access to MNT is critical. This is especially true during acute and subacute care discharge, where patients should be referred to MNT services to maintain consistency in care. Unfortunately, many patients and caregivers struggle to understand their health benefits and the importance of MNT. Care management plays a vital role in facilitating referrals and coordinating transitions. Starting in 2025, a new care pathway will streamline this process—ensuring patients and caregivers can fully utilize MNT services.

 LEARNING OBJECTIVES:

1. Understand the Definition and Application of Medical 
    Nutrition Therapy (MNT)

2. Enhance Patient and Caregiver Awareness about MNT
    and Payer Benefits

3. Support the Continuity of Nutrition Care Throughout
    Transitions of Care

SPEAKER BIO: Carly Léon is the Director of Healthcare Policy and Payment for the Academy of Nutrition and Dietetics. In this role, she collaborates with both government-funded and private payers to address issues impacting access and payment for services provided by registered dietitian nutritionists. Ensuring equitable access to nutrition services provided by qualified practitioners is central to her work. Carly leads efforts to increase the utilization of medical nutrition therapy throughout the U.S. health system, with a focus on integrating nutrition into value-based care. She also supports the Academy’s work with the American Medical Association’s CPT® code development and valuation processes.

Throughout her career, Carly has been involved in various advocacy and payment-related initiatives. She is excited to collaborate with like-minded colleagues as part of the Accountable Care Action Collaborative. Carly holds a Master of Science degree from Eastern Illinois University and a Bachelor of Science, Summa Cum Laude, in Nutrition and Dietetics from Loyola University Chicago. 

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) and the National Transitions of Care Coalition (NTOCC).  ABQAURP is accredited by the ACCME to provide continuing medical education for physicians.
 
 The American Board of Quality Assurance and Utilization Review Physicians, Inc. designates this live activity for a maximum of 
1 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
 ABQAURP is an approved provider of continuing education for nurses. This activity is designated for 1 contact hour through the Florida Board of Nursing, Provider # 50-94.

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Aug
14
12:00 PM12:00

Transitions of Care Is A Team Sport"

  • National Transitions of Care Coalition (map)
  • Google Calendar ICS

August 14, 2024
AT 12:00 PM CT/1:00 PM ET

LUNCH N' LEARN WEBINAR:

"Transitions of Care Is
A Team Sport"*


Presented by
Cheri Lattimer, BSN
Executive Director, NTOCC                                              
 

  Register   Here
                          
Summary: 

Successful transition of care is built on the concept of a collaborative care team at every level of care.  Dr. Eric Coleman has often alluded to the fact that “transitions of care is a team sport.”  Knowing what the traits of a successful team culture should be helps us understand the focus and importance of building successful care teams. It also means opening up the communication channels not only between the all the providers of care but to include the patient and family caregiver as well.  When you have the care team defined does everyone know their role and the role of others?  Do we know how to communicate clearly, how to address different points of view and how to handle conflict?  Did we throw our collaborative care team together quickly or really assess, evaluate and embraced change when current roles and functions were not working?  This session will look at how we can address these concerns.

    Register   Here

 Objectives:

1. Define the traits associated with a successful team culture

2. Compare the playing fields of team sports to the playing field of healthcare

3. Identify who’s on the care team and their roles and responsibilities related to transitions

4. Discuss a transitions of care playlist/checklist.

.

Bio:

Cheri Lattimer, RN, BSN, serves as the Executive Director for the National Transitions of Care Coalition (NTOCC) and President/CEO of Integrity Advocacy & Management. Her leadership in quality improvement, case management, integrated health care, care coordination, and transitions of care is known on the national and international landscape. She is affiliated with various professional organizations and maintains active roles on several national boards and committees including URAC’s Health Standards Committee and URAC’s Health Equity Council, CMS Caregiver Workgroup, ABQAURP Board of Directors and ABQAURP CME Committee, Alliance for Health Innovation and the engAGE with HEART Project.

*This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) and the National Transitions of Care Coalition (NTOCC).  ABQAURP is accredited by the ACCME to provide continuing medical education for physicians.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. designates this live activity for a maximum of 
1 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABQAURP is an approved provider of continuing education for nurses. This activity is designated for 1 contact hour through the Florida Board of Nursing, Provider # 50-94.

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Aug
1
to Aug 11

The Future is Now: Enabling Greater Interoperability During Transitions of Care

  • National Transitions of Care Coalition (map)
  • Google Calendar ICS

August 1, 2024
12:00 PM CT/1:00 PM ET

NTOCC LUNCH N' LEARN WEBINAR:


"The Future is Now:
Enabling Greater Interoperability During Transitions of Care
"

Presented by

Dr. Terrence O’Malley, M.D.
Co-chair the PACIO Project
Transitions of Care Workgroup


 Howard Capon
 Senior Health Program Analyst
at The MITRE Corporation

                                                          
  Register   Here

Summary: 

Barriers to interoperable data exchange across the continuum complicate smooth transitions of care. This session will examine ways to overcome these barriers, resulting in less safe and burdensome transitions of care. Specifically, by engaging multidisciplinary care teams, the PACIO project is working to identify and address transitions of care data interoperability challenges. The PACIO Project is a collaborative effort to advance interoperable health data exchange between post-acute care (PAC) and other providers, patients, and key stakeholders across health care and to promote health data exchange in collaboration with policy makers, standards organizations, and industry through a consensus-based, use case-driven approach.

               
      Register   Here

Objectives:

1. Compare and contrast clinical workflow development and standards development 

2. Summarize how each of PACIO’s implementation guides support transitions of care.  

3. Identify the types of information their own clinical discipline would contribute to a transition of care composition.

 

Bio(s):

Howard Capon is a Senior Health Program Analyst at The MITRE Corporation. He serves as a clinical advisor and connector for clinical and technical teams. He has worked on multiple PACIO sub-projects including Transitions of Care (TOC), Personal Functioning and Engagement (PFE), Advance Directive Interoperability (ADI), and others. He was previously a full-time paramedic firefighter and fire department / hospice liaison. Howard has a Master of Public Health degree from George Washington University and still actively practices as a paramedic.

Dr. Terrence O’Malley, M.D. is the former Medical Director, Non-Acute Care Services at Partners HealthCare in Boston and Geriatrician at the Massachusetts General Hospital, Terry was a member of the ONC HITAC and co-chaired the USCDI Taskforce while participating in Gravity, 360X, and the LTPAC HIT Collaborative.  He co-chairs the PACIO Project Transitions of Care Workgroup and the Moving Forward Coalition HIT Committee which is developing  standards for an individual's goals, preferences, and priorities.  He is a board member of the Long Term Quality Alliance (LTQA). 

*This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) and the National Transitions of Care Coalition (NTOCC).  ABQAURP is accredited by the ACCME to provide continuing medical education for physicians.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. designates this live activity for a maximum of 
1 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABQAURP is an approved provider of continuing education for nurses. This activity is designated for 1 contact hour through the Florida Board of Nursing, Provider # 50-94.

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Apr
10
12:00 PM12:00

Transition of Care in Clinical Trials Webinar

  • National Transitions of Care Coalition (map)
  • Google Calendar ICS

JOIN NTOCC
April 10, 2024
AT 12 PM CT/1PM ET

FOR 
THE NEXT NTOCC
LUNCH N' LEARN WEBINAR:

 

"Transition of Care in Clinical Trials"*

Presented by

Lee Holland, PharmD, MPH
Laura Shepprd, MBA, MA

                                   

Register Here


Summary: 
Despite extensive regulations controlling the conduction and oversight of clinical trials there are no requirements or guidelines concerning transitions of care for patients entering or leaving clinical trials. Currently, clinical trials participants face a wide variety of post-trial options. These range from no transitions of care support to open-label extension programs that continue to provide treatment.

This session will identify the gaps, barriers and concerns for patients and their family caregivers who volunteer to enroll in clinical trials. Our presenters assess issues for improving communication between clinical researchers and the standard of care providers. Please join us for this presentation and discussion forum on improving transitions for patients and their family caregivers involved in a clinical trial.

 

                      Register Here

Presenter(s) Bio: 

Lee Holland, PharmD, MPH
Dr. Lee Holland is the Associate Director, Plain Language Summaries at Certara. She has overseen the drafting of over 250 plain language documents, including summaries, protocol synopsis, clinicaltrials.gov Brief Title and Descriptions, and handouts explaining conference posters in plain language. Lee has also been a patient and caregiver advocate for almost 20 years. She has assisted many patients in accessing healthcare and other needed resources.

During the first two years of the COVID-19 pandemic, she volunteered in a Facebook group to provide her community with accurate information. During this work, she answered questions directly from the public on vaccines, clinical research, and COVID prevention measures. Lee brings her passion for patient advocacy to her work in plain language to educate and empower patients, caregivers, and their families. By combining health literacy expertise with clinical knowledge, she strives to be a voice for the overlooked and forgotten in our healthcare system. Prior to joining Certara, Lee was the Inaugural Research Fellow at Pharmacy Quality Alliance (PQA) in Alexandria, Virginia. While at PQA, Lee was involved in research into patient access to medication and healthcare quality.
______________________________________________________________________
Laura Sheppard, MBA, MA
Ms. Sheppard is the Senior Director, Regulatory Services Management and Lay Summary Team Lead and medical writer with experience in document quality control,
project management, and clinical transparency and disclosure in both contract research organizations and pharmaceutical environments. She has 20 years of experience in translational science, clinical development, and clinical operations, including 15 years in medical writing, document quality review, and regulatory strategy experience with global marketing applications for both biologics and small molecules, as well as for Investigational New Drug (IND), Marketing Authorization Applications (MAA) and Clinical Trial Authorization (CTA) applications.

Ms. Sheppard served her three consecutive terms with the American Medical Writers Association (AMWA) asa Director-At-Large. She supports her local AMWA chapter as the NJ Program Chair. Her experience in therapeutic areas includes anti-infectives, cardiovascular, central nervous system, endocrinology, gastrointestinal, immunology, nephrology, neurosciences,  oncology, pain management, rare disease, respiratory, urology, and xenotransplantation.

 

*This webinar does not provide CME/CE's.

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