Speaker Profile
TONI G CESTA
Toni G. Cesta, Ph.D., RN, FAAN is Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating acute care and community case management models, educating case management professionals and assisting in the implementation of case management departmental changes. 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. She was responsible for case management, social work, discharge planning, utilization management, denial management, bed management, the patient navigator program, the clinical documentation improvement program, and systems process improvement. Dr. Cesta has also held positions as Corporate Vice President for Patient Flow Optimization and Director of Case Management. She 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.
BEST SELLER - The CMS Conditions of Participation for Discharge Planning: What’s New for 2020
This program will review the current rules and regulations from the Conditions of Participation (CoP) for Discharge Planning. The CoP is the legal and regulatory requirements that hospitals and case management professionals must follow in order to be compliant in their role as discharge planners. This will be followed by a review of the changes to the Conditions of Participation for Discharge Planning that ..
BEST SELLER - The CMS Discharge Planning Rules and Regulations for 2018
This program will review the current rules and regulations from the Conditions of Participation for discharge planning. We will then discuss the most recent changes to the Medicare program and how they will impact the roles of the RN case manager and the social worker. We will review strategies for safely transitioning your patients across the continuum of care. In addition, we will review how to engage oth..
Access Point Case Management: Managing Your Routes of Entry While Maintaining Compliance with the 2-Midnight Rule
In this webinar we 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 patient 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 use of Con..
Compliance and the Role of the RN and Social Work Case Manager in the Acute Care Setting
This program will review the compliance issues that most greatly impact your practice such as the 2-midnight Rule, the NOTICE Act, HINNs, the important message and others. The joint commission is now monitoring these issues when they have deemed status from medicare, so your compliance is critical to a good joint commission survey outcome.This program will help you to identify where you may have compliance ..
Discharge Planning: Best Practices Including a Review of the Conditions of Participation
We will begin with a review of the prior rules and from there we will discuss the most recent changes from the Medicare program and how they will impact the roles of the RN case manager and the social worker. Learn how to be sure that your processes address the complexities of the new healthcare environment and that your role as a case manager or social worker is designed and staffed to meet the changes ahe..
Utilization Management: Rules, Regulations, and How To’s
The Centers for Medicare and Medicaid Services (CMS) provides us with two conditions of Participation that apply to the work of case management professionals. These include the Conditions of Participation for Discharge Planning and the Conditions of Participation for Utilization Review. This webinar will focus on these rules as they apply to the role of utilization review. In order for case management depar..
Best Practice Case Management Roles and Functions: How to Optimize RN and Social Worker Skill Sets
This session will discuss the roles and functions of staff in a case management department that are needed to support the department’s goals through collaborative professional processes. The skill sets and characteristics for the role of the RN case manager and the social worker will be reviewed, as well as identifying the most contemporary functions needed to respond to changes brought on by healthcare ref..
Care Coordination: An Important Case Management Role for Managing Cost and Length of Stay
In an era of value-based purchasing, this role is more important than ever in managing metrics such as the Efficiency Measure and Readmission Reduction. It is also critical in a bundled payment environment or accountable care organization. Learn how to incorporate this role into your daily routine using best practice strategies.This program will review the elements that most greatly impact cost and length o..
Case Management: Find and Fix Your 2019 Compliance Gaps
As case managers, we must be aware of the myriad of compliance issues that we must adhere to in our daily practice. Never has this been more important to our work as case managers than it is now. Our ability to remain compliant has become an element of audits from accrediting bodies such as the Joint Commission as well as the Centers for Medicare and Medicaid Services (CMS). It is the right thing to do for ..
Compliance Measures for Case Management Professionals
As case managers, we must be aware of the myriad of compliance issues that we must adhere to in our daily practice. Never has this been more important to our work as case managers then it is now. Our ability to remain compliant has become an element of audits from accrediting bodies such as the Joint Commission as well as the Centers for Medicare and Medicaid Services (CMS). It is the right thing to do for ..
Compliance Measures for Case Management Professionals in the Acute Care Setting
This program will review the compliance issues that most greatly impact your practice as a case management professional such as the 2-midnight rule, the NOTICE Act, HINNs, The Important Message, and others. Do you have a utilization review committee and is it compliant with the Conditions of Participation for Utilization Review? Are you compliant with the Federal rules for discharge planning? Case managemen..
Fundamentals in Discharge Planning for RN and Social Work Case Managers
This program will review the current rules and regulations from the Conditions of Participation for discharge planning. We will then discuss the most recent changes from the Medicare program and how they will impact the roles of the RN case manager and the social worker. We will review strategies for safely transitioning your patients across the continuum of care. In addition, we will review how to engage o..
The CMS Conditions of Participation for Discharge Planning
This program will review the current rules and regulations from the Conditions of Participation (CoP) for Discharge Planning. The CoP is the legal and regulatory requirements that hospitals and case management professionals must follow in order to be compliant in their role as discharge planners. This will be followed by a review of the changes to the Conditions of Participation for Discharge Planning that ..
The CMS Discharge Planning Rules and Regulations for 2018
This program will review the current rules and regulations from the Conditions of Participation for discharge planning. We will then discuss the most recent changes to the Medicare program and how they will impact the roles of the RN case manager and the social worker. We will review strategies for safely transitioning your patients across the continuum of care. In addition, we will review how to engage oth..