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    6 Courses

Nancy Skinner

RN, CCM, CMGT-RN, ACM-RN, CMCN, FCM

Nancy has, for the past 30 years, served as a case manager, director of case management, and international case management educator. In her current role as principal consultant for Riverside HealthCare Consulting, she advances programs that promote excellence in care coordination and other transitional care strategies. She has presented more than 400 on-site programs and webinars within the past 10 years that offer a primary focus on supporting and enhancing the professional practice of healthcare case management and care coordination. She is the primary author of A Case Manager's Study Guide: Preparing for Certification and has published more than 25 articles in professional journals in the past 10 years.

In 2002, she was named the Case Management Society of America (CMSA) National Case Manager of the Year, and in 2008, she received CMSA's Lifetime Achievement Award. She is also recognized as being the only national president of CMSA to be elected to two terms of office, accepting that role in 1997-1998 and again from 2012 to 2014. Nancy was recently recognized as a Case Management Fellow (FCM). As one of the inaugural recipients of this designation, she has been identified as achieving a high level of demonstrated proficiency in the professional practice of case management, showing a commitment to knowledge through continuing education and publication and acknowledging her consistent contributions to the growth of that professional practice.

Nancy has served as a member of both the Stakeholders Advisory Group for Project ACHIEVE and the Steering Committee for the Lambert Center for the Study of Medicinal Cannabis and Hemp. She also served as a member of the Public Policy Committee for the American Case Management Society and as a Member At Large for the Kentucky/Tennessee Chapter of the American Case Management Society. Nancy is a member of the American Cannabis Nurses Association and is an invited member of ACNA's National Conference Committee. She also recently retired as primary faculty for the University of Southern Indiana Case Management Certificate Course, a role she maintained for more than 13 years.

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Discharges and Readmissions: A Quality Mandate

Presented by Colleen Morley, DNP, RN, CCM, CMAC, CMCN, ACM-RN and Nancy Skinner, RN, CCM, CMGT-RN, ACM-RN, CMCN, FCM

Discharges and Readmissions: A Quality Mandate

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 44 Minutes; Learning Assessment Time: 34 Minutes

The Centers for Medicare & Medicaid Services has indicated that 100% of traditional Medicare reimbursement will be value based by 2025. Healthcare professionals may not possess a clear understanding of value-based reimbursement strategies and the regulations adopted to support those strategies. Any gap in that knowledge and/or execution related to current healthcare reimbursement initiatives may negatively impact the financial viability of an organization and/or compromise the status of that organization within the community of practice.

This course will provide an overview of current quality metrics that are associated with value-based purchasing and alternative payment models introduced by the Centers for Medicare & Medicaid Services. Obtaining an understanding of these initiatives is important as reimbursement in the form of both incentives and disincentives is associated with both provider and payer accountability for the quality as well as the cost of provided care. This course is applicable to physical therapists, occupational therapists, speech-language pathologists, nurses, social workers, and case managers.

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Discharges and Readmissions: Advancing Appropriate Transitions of Care

Presented by Colleen Morley, DNP, RN, CCM, CMAC, CMCN, ACM-RN and Nancy Skinner, RN, CCM, CMGT-RN, ACM-RN, CMCN, FCM

Discharges and Readmissions: Advancing Appropriate Transitions of Care

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 48 Minutes; Learning Assessment Time: 29 Minutes

Achieving effective transitions of care has been a consistent goal of healthcare providers over the past decade, yet the movement of patients from one healthcare setting to another continues to represent a vulnerable exchange point that may prompt negative healthcare outcomes, leading to unnecessary increases in healthcare utilization and spending. Most importantly, a lack of coordinated care across the healthcare continuum exposes patients to lapses in the delivery of quality healthcare services and may compromise patient safety.

This program will present an opportunity to review the current state of transitional care in America and offer information regarding the creation and maintenance of care coordination strategies to support the delivery of safe transitions of care. Effective and efficient transitions not only advance the ability of a patient to experience a safe healthcare journey but also support the appropriate reimbursement of provided healthcare interventions and services. This course is applicable to physical therapists, occupational therapists, speech-language pathologists, nurses, social workers, and case managers.

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Discharges and Readmissions: Advancing Effective Coordination of Care

Presented by Colleen Morley, DNP, RN, CCM, CMAC, CMCN, ACM-RN and Nancy Skinner, RN, CCM, CMGT-RN, ACM-RN, CMCN, FCM

Discharges and Readmissions: Advancing Effective Coordination of Care

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 61 Minutes; Learning Assessment Time: 33 Minutes

Transitioning from acute care to post-acute care may contribute to the development of negative healthcare outcomes. Research indicates that as many as 20 percent of patients experience adverse events within three weeks of discharge, nearly three-quarters of which could have been prevented or ameliorated. Members of the transdisciplinary receiving team within post-acute environments of care may not be aware of all previously provided interventions and diagnostic evaluations performed during hospitalizations. With as many as 40 percent of patients discharged with test results pending and plans for further workups not communicated appropriately, patients may face a discoordination of care that often compromises the ability to promote the achievement of desired outcomes.

Effective and efficient care coordination across the discharge and admission process is vital to advancing patient safety, promoting the achievement of desired patient outcomes, and maximizing reimbursement for provided services. This course will offer an overview of care coordination and transitional care teams and processes that advance an ability to reduce the rate of potentially preventable emergency department visits and readmissions while supporting initiatives to return the patient to their community. This course is applicable to physical therapists, occupational therapists, speech-language pathologists, nurses, social workers, and case managers.

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Discharges and Readmissions: Essentials for a Smooth Handover

Presented by Colleen Morley, DNP, RN, CCM, CMAC, CMCN, ACM-RN and Nancy Skinner, RN, CCM, CMGT-RN, ACM-RN, CMCN, FCM

Discharges and Readmissions: Essentials for a Smooth Handover

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 39 Minutes; Learning Assessment Time: 35 Minutes

Gaps in the transitional care process may escalate when a patient is discharged from a structured environment of care to their home or other community site of care. These gaps may contribute to the development of negative healthcare outcomes that might be a direct cause of a readmission to acute care. Although the rates of hospital readmissions have diminished slightly since 2014, the Centers for Medicare & Medicaid Services (CMS) will penalize more than 2,500 hospitals in fiscal year 2021 for readmission rates that exceed national averages. In addition to readmissions associated with a discharge from an acute care hospital, CMS has developed specific quality measures for post-acute care that focus on potentially preventable readmissions during the post-acute stay and following discharge from the post-acute facility. Closing these gaps is vital to balancing patient advocacy and fiscal accountability.

Studies have demonstrated that a majority of negative outcomes and serious medical errors are associated with communication gaps occurring during care transitions. This course will focus on the development of specific initiatives employed by the transdisciplinary team to support effective communication strategies as the patient transitions to the next level of care and the next setting of care. This course is applicable to physical therapists, occupational therapists, speech-language pathologists, nurses, social workers, and case managers.

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Discharges and Readmissions: Advanced Facilitation of Smooth Handovers

Presented by Colleen Morley, DNP, RN, CCM, CMAC, CMCN, ACM-RN and Nancy Skinner, RN, CCM, CMGT-RN, ACM-RN, CMCN, FCM

Discharges and Readmissions: Advanced Facilitation of Smooth Handovers

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 31 Minutes; Learning Assessment Time: 34 Minutes

Gaps in the transitional care process may escalate when a patient is discharged from a structured environment of care to their home or other community site of care. These gaps may contribute to the development of negative healthcare outcomes that might be a direct cause of a readmission to acute care. Although the rates of hospital readmissions have diminished slightly since 2014, the Centers for Medicare & Medicaid Services (CMS) will penalize more than 2,500 hospitals in fiscal year 2021 for readmission rates that exceed national averages. In addition to readmissions associated with discharge from an acute care hospital, CMS has developed specific quality measures for post-acute care that focus on potentially preventable readmissions during the post-acute stay and following discharge from the post-acute facility. Closing these gaps is vital to balancing patient advocacy and fiscal accountability.

Studies have demonstrated that a majority of negative outcomes and serious medical errors are associated with communication gaps occurring during care transitions. This course will continue the discussion on the development of specific initiatives employed by the transdisciplinary team to support effective communication strategies as the patient transitions to the next level of care and the next setting of care. This course is applicable to physical therapists, occupational therapists, speech-language pathologists, nurses, social workers, and case managers.

View full course details

Discharges and Readmissions: The Impact of Alternative Payment Models

Presented by Colleen Morley, DNP, RN, CCM, CMAC, CMCN, ACM-RN and Nancy Skinner, RN, CCM, CMGT-RN, ACM-RN, CMCN, FCM

Discharges and Readmissions: The Impact of Alternative Payment Models

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 37 Minutes; Learning Assessment Time: 34 Minutes

The Centers for Medicare & Medicaid Services has indicated that 100% of traditional Medicare reimbursement will be value based by 2025. Healthcare professionals may not possess a clear understanding of value-based reimbursement strategies and the regulations adopted to support those strategies. Any gap in that knowledge and/or execution related to current healthcare reimbursement initiatives may negatively impact the financial viability of an organization and/or compromise the status of that organization within the community of practice.

This course will provide a review of associated quality metrics and the strategies under value-based purchasing introduced by the Centers for Medicare & Medicaid Services. The discussion centers around the various alternative payment models and structures that have been implemented to put the focus on quality of care rather than quantity of services. Obtaining an understanding of these initiatives is important as reimbursement in the form of both incentives and disincentives is associated with both provider and payer accountability for the quality as well as the cost of provided care. This course is applicable to physical therapists, occupational therapists, speech-language pathologists, nurses, social workers, and case managers.

View full course details

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