CM 520
Case Management: Theory & Process II
Course Information
This course is the second in the continuing education program. Concepts and theories in case management systems and models are presented, in this course as a continuation of study in CM 500. Students will study utilization management and its tools for assessment and decision making. Legal and ethical issues in case management practice are examined as well. Ethical issues and dilemmas are examined as they relate specifically to the practice of case management and the role of the case manager. This course also presents theory and models of the discharge planning process and its function within case management systems and models. The role of the discharge planner is examined. Students also study the entire case management system and role from assessment, planning, intervention and evaluation. Case management forms and tools are presented. Factors leading to success in the role of case manager are also studied. Case studies in case management are examined to assist the student in operationalizing the concepts learned in this course and in CM 500. Course Code: CM 520. Contact hours of education = 25
This course is particularly designed for those who would like to apply for Fellowship certification as a "Fellow" in the American Academy of Case Management.
BOARD APPROVALS: AIHCP is an approved provider of continuing education by the Florida Board of Nursing and the District of Columbia Board of Nursing. CE Provider # 50-11975. Access information
This is a guided, independent study CEU Course. You are to study and progress at your own rate. There are no written assignments. It is recommended that you follow this process for completing the course:
Instructor/Course Author: Dominick L. Flarey, Ph.D, MBA, RN,BC, CNAA, FACHE
Link to Resume
E-mail: info@aihcp.org
TIME FRAME: You are allotted two years from the date of enrollment, to complete all of the courses in this continuing education program (all five (5) courses). There are no set time-frames per course, other than the two year allotted time. If you do not complete the courses within the two-year time-frame, you will be removed from the course and an "incomplete" will be recorded for you in our records. Also, if you would like to complete the courses after this two-year expiration time, you would need to register and pay the course tuition fee again.
TEXTBOOK
Case Management: A Practical Guide for Education and Practice, 3rd edition, by Suzanne K. Powell & Hussein A. Tahan. Philadelphia: Lippincott, Williams & Wilkins, 2010. ISBN: 978-0-7817-9038-3.
AIHCP Online Bookstore: AIHCP provides an online bookstore stocked with all of the required textbooks, and/or materials required for its CE courses. To purchase this book online, click the access store link, go to the table of categories, right upper hand corner, and click on Case Management. Access AIHCP Store: click here
Instructor: Your instructor for this course is Dominick L. Flarey, Ph.D,MBA, RN,BC,CNAA, FACHE ,executive director of the American Academy of Case Management.. Access information
GRADING: You must achieve a passing score of at least 70% to complete this course and receive the 25 hours of awarded continuing education credit. There are no letter grades assigned. You will receive notice of your total % score. Those who score below the minimum of 70% will be contacted by the American Academy of Case Management and options for completing additional course work to achieve a passing score, will be presented.
Within 24-48 hours after submission of your completed examination for this course, you will receive from us an e-mail notification of your final score and more information about the shipping of your CEU certificate.
ONLINE COMMUNITY MESSAGE BOARDS: Enrolled students have full access to our online Student Community Message Boards. These message boards allow students in our CE courses to meet each other, communicate online, share information, discuss topics of study and interest and much more. Full access is provided via the online classrooms.
Fellowship Certification Information:
Once you have completed all of the five (5) courses in this education program, you are eligible for application and conferral of "Fellowship status and Certification" in the American Academy of Case Management. To access program information on Fellowship/Certification, click here.
COURSE OBJECTIVES:
Upon completion of this course, you will be able to:
1. Identify and discuss common ethical dilemmas that present in case management practice.
2. Identify and discuss issues related to withholding and withdrawing of care.
3. Define the role of ethics committees
4. Discuss a model for ethical decision making
5. Review and understand various codes of professional ethics.
6. Review and understand the code of professional conduct for case manages.
7. Review and understand the tenets of the patients bill of rights.
8. Contrast and compare quality management and risk management.
9. Discuss the process for quality reviews in case management systems.
10. Identify risk management recommendations and prevention strategies.
11. Define and discuss the use of quality indicators in care delivery.
12. Understand the theory/concepts of discharge planning.
13. Discuss discharge planning assessment and implementation strategies.
14. Define common levels of patient care and discuss how they relate to discharge planning.
15. Discuss the concept and applicability of transition hospitals.
16. Define and discuss all types of subacute care levels.
17. Discuss hospice care and insurance reimbursements
18. Compare and contrast skilled vs non-skilled care services
19. Discuss regulations and issues related to home care services.
20. Discuss durable medical equipment, its regulations and reimbursement issues.
21. Define and discuss the stages of the case management process.
22. Identify the process of development and coordination of a case plan.
23. Identify the process for evaluation of a case plan.
24. Define issues and strategies relevant to pain management.
25. Compare and contrast case management vs managed care.
26. Identify communication and information-gathering techniques for case managers
27. Review selected case studies and discuss the core issues for case management care delivery.
COURSE CONTENT
1. Ethical issues and dilemmas in case management practice
2. Advanced directives
3. Code for professional conduct
4. Role and process of ethics committees
5. Ethics decision making models
6. Rationing of health care
7. Standards of professional performance
8. Continuous quality improvement
9. Adverse patient outcomes
10. Occurrence reports and incident reports
11. Performance improvement
12. Quality assurance and total quality management
13. Assessing variances
14. Custodial care
15. Home health services
16. Hospice care
17. Intermediate care
18. Long-term care
19. Rehabilitation services
20. Skilled nursing care
21. Subacute care
22. Discharge planning
23. Stages of the case management process
24. Screening and assessment tools
25. Case plan development, implementation and evaluation
26. Pain management programs
27. Success factors in case management
28. Problem-solving techniques
29. Communication and information gathering techniques
30. Case management case studies