Access Point Case Management: Managing the 2 Midnight Rule Via your Routes of Entry

 The role of the case manager and social worker in the emergency department, as well as other routes of entry to the hospital, is critical to the success of any hospital-based case management department. The roles of the case management professionals are unique and specialized in these settings and as such must be clearly defined and understood. Whether you work in the ED or on an in-patient unit, you need to understand the value added by these roles and how they can be best carried out. Case managers and social workers in all settings must work collaboratively so if you want to be as up to date on these important roles.

Access point case managers reside in emergency departments, admitting offices, and transfer centers. Among their roles is to ensure that patients are placed in the right level of care upon admission. With the advent of the 2-midnight rule, this role has never been more important. In addition, they are vital in assisting in readmission reduction, discharge planning, and patient flow.

In this webinar, Industry expert Toni Cesta, Ph.D., RN, FAAN will explore the unique roles of the ED and admitting office and transfer center case managers and social workers and how an initial assessment and clinical review can better ensure that patients are placed in the correct setting right from the get-go. She will review the 2-midnight rule and the part that case management plays in managing it. This can better ensure a reduction in use of Condition Code 44  or self-denials when patients get admitted to the incorrect level. ED staff also assists in reducing unnecessary admission and readmissions. Learn how to prioritize which patients need case management at your routes of entry and how these positions can assist in-patient case managers as well. Toni will complete this webinar with a discussion of how to measure the impact of these roles on the department and the hospital.

Webinar Objectives

• Access point case management is critical to any case management department. These unique roles will be explained. 
• Placing the patient into the correct level of care from the point of entry is necessary in reducing problems down-stream and will help in reducing the use of Condition Code 44 and provider liable billing. 
• The 2-midnight rule is still confusing to some providers. The session will discuss the 2-midnight rule, its requirements particularly related to physician documentation’
• The role of case management in the emergency department as well as other routes of entry to the hospital are critical to the management of the 2-midnight rule. We will discuss these roles in-depth and how to use them to manage the rule as well as many other issues
• A state-of-the-art emergency department case management rule is now more important than ever. A discussion of how to develop these roles will be reviewed.

Webinar Agenda

• Introduction to access point case management
• Levels of care
• Role of the RN case manager
• Role of the social worker
• Definition of 2 Midnight Rule
• Role of case management in managing 2 Midnight Rule
• Prioritizing patients in the emergency department
• Discharge planning in the emergency department
• Patient through-put
• Evaluating emergency department case management outcomes

Webinar Highlights

• Understand the 2-midnight rule and its requirements
• Review the role of the RN case manager in the emergency department
• Review the role of the social worker in the emergency department
• Discuss the role of case management in managing the two-midnight rule
• Describe a process for prioritizing case management patients in the emergency department
• Learn how to optimize discharge planning in the emergency department

Who Should Attend?

• Directors of Case Management
• Directors of Social Work
• RN Case Managers
• Social Workers
• Directors of Quality Management
• Emergency Department leaders
• Vice Presidents of Nursing
• Directors of Finance
• Vice Presidents of Operations
• Hospitalists