Access Point Case Management: Managing Your Routes of Entry and the 2 Midnight Rule


About Course

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, we will explore the unique roles of the Emergency Department 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. We will review the 2-midnight rule and the part that case management plays in managing it. This can better ensure a reduction in the 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. We will complete this webinar with a discussion of how to measure the impact of these roles on the department and the hospital.

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 to 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, please join us for this important webinar!

Learning Objective

  • Review the concept of access point case management
  • Describe the role of the Social Worker
  • Discuss how to prioritize access point patients
  • Review the positive outcome achieved by access point case management
  • Discuss the role of the RN case manager
  • Understand the relationship between the 2 Midnight Rule and case management
  • Identify the role of through-put at access points

Areas Covered in the Session:

  • 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

Suggested Attendees

    • RN Case Managers
    • Social Workers
    • Vice Presidents of Operations
    • Director of Case Management
    • Case Managers
    • Directors and Vice Presidents of Nursing
    • Directors of Patient Flow
    • Director of Revenue Cycle
    • Chief Financial Officers
    • Chief Operations Officers
    • Chief Medical Officer
    • Hospitalists
    • Director of Quality Management
    • Nursing Home Directors
    • Director of Home Care
    • Director of Finance
    • Case Managers
    • Social Workers
    • Vice President of Case Management
    • Hospitalists
    • Physician Advisors
    • Directors of Social Work

About the Presenter

Toni G. Cesta, Ph.D., RN, FAAN is Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company that assists institutions in designing, implementing, and evaluating acute care and community case management models, provides education on case management and related topics, and on-site assistance to case management departments.The author of nine books and a frequently sought-after speaker, lecturer, and consultant, Dr. Cesta is considered one of the primary thought leaders in the field of case management.
Dr. Cesta writes a monthly column called “Case Management Insider” in the Hospital Case Management journal in which she shares insights and information on current issues and trends in case management.Prior to her current work as a case management consultant, Dr. Cesta was Senior Vice President – Operational Efficiency and Capacity Management at Lutheran Medical Center in Brooklyn, New York. Prior to her position as Senior Vice President at Lutheran Medical Center, Dr. Cesta has held positions as Corporate Vice President for Patient Flow Optimization at the North Shore – Long Island Jewish Health System and Director of Case Management, Saint Vincents Catholic Medical Centers of New York, in New York City and also designed and implemented a Master’s of Nursing in Case Management Program and Post-Master’s Certificate Program in Case Management at Pace University in Pleasantville, New York. Dr. Cesta completed seven years as a Commissioner for the Commission for Case Manager Certification.

Course Content

You can access all the webinar materials after successful payment

  • Webinar Link + Handouts PDF
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