Case Managers: Blueprint for Transformation — From Volume to Value

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Start Time:12:00 AM
End Time:12:00 AM
Contact Information
Additional Information

Provided by MHA Health Institute.
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Date & Location

Wednesday, Aug. 28

Columbia Courtyard by Marriott
3301 LeMone Industrial Blvd.
Columbia, Mo.

Register on or before Wednesday, Aug. 14.

This seminar is being offered at a reduced registration fee to MHA-member hospitals thanks to a generous contribution from the MHA Management Services Corporation. This webinar also is eligible for use of the MHA Health Institute coupon. Coupons were mailed to MHA-member hospital CEOs on Dec. 17, 2018.


hospital case management directors/managers, executive sponsors, care/case managers, physician advisors, social workers, psychosocial counselors, post-acute resource coordinators and discharge arrangers


Disruption is the new norm, and hospital case management is no exception. As hospital leaders make the 180 degree turn from volume to value, HCM leaders and their executive sponsors must transform their legacy HCM models to one that meets the expectations of the new value-based marketplace. This one-day program will provide a fundamental understanding of the changes taking place in hospitals across the country and the ongoing shift to care coordination.


Upon completion of this program, participants will be able to:

  • explain the impact that the transition from volume to value has had on the hospital industry
  • identify alternative models of hospital case management programs, and discuss the advantages/challenges among alternative practice models
  • discuss the transformation from case manager to care coordinator
  • examine the difference between utilization review and resource management
  • describe the difference between process outcomes and patient-reported outcome measures


7:30 a.m. — Registration/Continental Breakfast

8 a.m. — Welcome, Objectives, Vocabulary

8:10 a.m. — Evolutionary Models of Hospital Case Management

8:30 a.m. — The New Marketplace —  Economic Landscape

9:45 a.m. — Break

10:15 a.m. — The Reform Landscape

11 a.m. — The Shift to Value — Readiness for Care Coordination

11:30 a.m. — How to Structure for Care Coordination

Noon — Lunch (provided)

12:45 p.m. — Care Coordination is a Team Sport

1:45 p.m. — Patient Selection and Workflow

2:45 p.m. — Break

3 p.m. — Outcomes and PROM

3:30 p.m. — UM, UR and Medical Necessity

4 p.m. — Access Management, the Revenue Cycle and UR

4:30 p.m. — Adjournment


Stefani Daniels, MSNA, R.N., ACM
Founder and Managing Partner
Phoenix Medical Management, Inc.
Pompano Beach, Fla.

Stefani Daniels spent her career in the executive suite of hospitals and is the founder and managing partner of Phoenix Medical Management, Inc. She is the co-author of The Hospital Guide to Contemporary Utilization Review, 2nd edition and the popular text The Leader’s Guide to Hospital Case Management. Daniels is a contributing author to the second and third editions of the Case Management Society of America’s Core Curriculum for Case Managers. She serves on the editorial boards of Lippincott’s Professional Case Manager and HCPros Case Management Monthly, and is a popular speaker on contemporary hospital and health system case management.

Continuing Education

Participants must attend the program in its entirety and complete an evaluation to receive a certificate of attendance and continuing education credits.

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Case Managers — This program has been preapproved by The Commission for Case Manager Certification® to provide continuing education credit to CCM board certified case managers. The course is approved for 6.25 contact hours. Activity code: Activity Code: S00036719 Approval #: 190001238

All Other Participants — A certificate of attendance for 6.25 clock hours will be awarded.