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SUMMARY:NCQA Essentials for Case Management
DESCRIPTION:About this Webinar Training\nNCQA Essentials for Case 
 Management\nThrough this course\, participants will learn the 
 fundamentals of case management from systematic evidence 
 reviews through care transitions. Our experts dive deep into 
 practical cases for working with interdisciplinary teams and 
 ensuring patients receive timely and appropriate 
 care.\n\nWhat You Will Learn\nCourse Topics\n\n\nCase 
 Management Program Essentials\nPatient Identification and 
 Assessment\nCare Planning\nCare Monitoring \n Care 
 Transitions\nMeasurement and Quality Improvement\nStaffing\, 
 Training\, and Verification\nMember Rights and 
 Responsibilities\nDelegation of Case Management\n\nLearning 
 Objectives for Case Management\n\n\nUse evidence-based 
 information to develop and refine a case management 
 program.\n\n\nDefine activities for systematically 
 identifying patients for the case management 
 program.\n\n\nRecognize attributes of adequate 
 individualized care plans.\n\n\nRecognize practices for 
 effectively monitoring individualized care 
 plans.\n\n\nExplore tactics for reducing unplanned 
 transitions and identifying care transition 
 issues.\n\n\nDefine practices for measuring program 
 effectiveness and improving patient experience.\n\n\nDiscuss 
 opportunities for preparing staff with clinical practice 
 guidelines.\n\n\nRecognize practices for effectively 
 communicating expectations to members enrolled within a case 
 management program.\n\n\nDefine structures for and 
 mechanisms to oversee delegated case management 
 activities.\n\n \n\nCourse Outcomes\n\nAfter completing 
 this course\, learners will be able to:\n\n\n\n\nIdentity 
 opportunities for enhancing their current utilization 
 program.\nEvaluate the effectiveness of their current 
 utilization management program.\nRecognize the changes 
 necessary to improve a utilization management 
 program.\nOptimize coordination for delegation 
 arrangements.                                
                                         
                                         
                                         
         \n\n\n\nWho Should Attend\nClinicians\, 
 executives\, managers\, specialists\, consultants\, delegates\, 
 and vendors who are employed or contracted by health plans 
 with responsibilities related to case management operations\, 
 including:\n\n\nDirectors of Accreditation or 
 Compliance\nDirectors of Case Management\nCase 
 Managers\nPopulation Health Managers\nClinical Social 
 Workers\nCare Coordination Managers\nDischarge 
 Planners\n\nLearning Materials and Resources\n\nLive Q&A 
 with a case management expert\nRecording of live 
 presentations\nThree (3) case studies\nKnowledge check 
 quizzes\nPresentation Slides\n\nFaculty\n\n\nClint Koenig\, 
 MD\, MSPH\, MA\n\nClint Koenig\, MD\, MA\, MSPH is the Senior 
 Medical Director at OhioHealthy\, a new system-based health 
 plan in Columbus\, Ohio. He has served as State Medical 
 Director in New Hampshire and Ohio. Other leadership roles 
 include the Health Plan Regional Chief Medical Officer at 
 Universal American\, a government programs health management 
 organization in Syracuse\, New York\, as well as\, the Director 
 for Utilization Management at Monroe Plan for Medical Care\, 
 a healthcare management organization in Rochester\, New York. 
 In addition\, Clint held Chief Medical Officer roles in 
 Federally Qualified Health Centers and integrated delivery 
 systems.\n\nHe has been an NCQA surveyor for 10 years and 
 surveys health plans\, Patient Centered Medical Home\, Special 
 Needs Plans and Long Term Services and Supports 
 organizations.\n\nDr. Koenig received his MD from Albany 
 Medical College in Albany\, New York. He completed his 
 residency in Family Medicine\, from the University of 
 Missouri. He also completed a fellowship at the University 
 of Missouri\, where he received a master’s degree in 
 Public Health and Journalism.\n\nBonus Material\nNavigating 
 NCQA Delegation (Self-paced)\nWant to know what Delegation 
 means to NCQA and familiarize yourself with the nuances? 
 This virtual course can provide you with those answers and 
 more. Experienced faculty will take a deep dive of each NCQA 
 delegation standard\, to improve your understanding\, from 
 oversight to automatic credit. You will learn how to 
 navigate through examining key elements that should be in 
 place prior to an organization's decision to give an entity 
 the authority to act on their behalf. A demo of NCQA’s 
 Interactive Review Tool (IRT) will also be provided.\n\nWhat 
 You Will Learn\nAt the conclusion of this event\, learners 
 will be able to:\n\n\nExplain NCQA’s Delegation 
 Standards—including oversight requirements and criteria 
 for automatic credit and file review\nIdentify appropriate 
 documentation and operational procedures required to comply 
 with NCQA’s delegation requirements\nDescribe potential 
 areas of concern in the delegation process\nApply NCQA’s 
 Delegations Standards to assist healthcare organizations in 
 the delegation process\n\nFaculty\nCandice Costello\, 
 BS\n\nVeronica Locke\, MHSA\n\nIrv Koehler\, RN\, MBA\, CPHQ\, 
 CPC\n\nContinuing Education\nEssentials for Case 
 Management:\n\n\n\nIn support of improving patient care\, the 
 National Committee for Quality Assurance is jointly 
 accredited by the Accreditation Council for Continuing 
 Medical Education (ACCME)\, the Accreditation Council for 
 Pharmacy Education (ACPE)\, the American Nurses Credentialing 
 Center (ANCC) to provide Interprofessional Continuing 
 Education for the healthcare team. \n\nThis educational 
 activity is approved for: 4.0 AMA PRA Category 1 CreditTM 
 \, 4.0 ANA CNE contact hours and 4.0 ASWB contact 
 hours.\n\nThis live webinar grants 4 Other Continuing 
 Education Unit (CEU) points for PCMH Certified Content 
 Experts.  \n\n\nPlease note – You must attend the entire 
 program to be eligible for total number of contact 
 hours.\n\n \n\nNavigating Delegation: This is a 
 non-accredited activity\,\n\nDisclosure of Relevant Financial 
 Relationships\nThe National Committee for Quality Assurance 
 (NCQA) endorses the Standards of the Accreditation Council 
 for Continuing Medical Education which specify that sponsors 
 of continuing medical education activities and presenters at 
 and planners for these activities disclose any relevant 
 financial relationships either party might have with 
 commercial companies whose products or services are 
 discussed in educational presentations.\n\nFor sponsors\, 
 relevant financial relationships include large research 
 grants\, institutional agreements for joint initiatives\, 
 substantial gifts\, or other relationships that benefit the 
 institution.  For presenters or planning committee members\, 
 relevant financial relationships include the receipt of 
 research grants from a commercial company\, consultancies\, 
 honoraria\, travel\, or other benefits\, or having a 
 self-managed equity interest in a company\; or having an 
 immediate family member or partner with such a 
 relationship.\n\nDisclosure of a relationship is not 
 intended to suggest or condone bias in any presentation but 
 is made to provide participants with information that might 
 be of potential importance to their evaluation of a 
 presentation.\n\nRelevant financial relationships exist with 
 the following companies/organizations:\n\nFaculty:\nClint 
 Koenig: None\n\nCandice Costello: None\n\nVeronica Locke: 
 None\n\nIrv Koehler: None\n\nAdditional Planning Committee 
 Members:\nVince Pereira: None\n\n \n\nThis program was 
 developed in part by NCQA staff.\n
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