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CM 520 Case Management Theory & Process II Syllabus

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Printable Copy of The ExamAccess Online ExamCourse Evaluation Form

COURSE OVERVIEW: This course is the second in the continuing education program. Concepts and theories in case management systems and models are presented, in this course as a continuation of study in CM 500. Students will study utilization management and its tools for assessment and decision making. Legal and ethical issues in case management practice are examined as well. Ethical issues and dilemmas are examined as they relate specifically to the practice of case management and the role of the case manager. This course also presents theory and models of the discharge planning process and its function within case management systems and models. The role of the discharge planner is examined. Students also study the entire case management system and role from assessment, planning, intervention and evaluation. Case management forms and tools are presented. Factors leading to success in the role of case manager are also studied. Case studies in case management are examined to assist the student in operationalizing the concepts learned in this course and in CM 500. Course Code: CM 520. Contact hours of education = 25

This course is particularly designed for those who would like to apply for Fellowship certification as a “Fellow” in the American Academy of Case Management.

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Course Refund & AIHCP Policies: access here

This Course is Board approved. The American Institute of Health Care Professionals Inc. is an Approved Provider of Continuing Education by the Florida State Board of Nursing and the District of Columbia Board of Nursing. CE Provider # 50-11975.The American Institute of Health Care Professionals, Inc. is a licensed Continuing Education Provider in the State of California, Board of Registered Nursing, Provider # CEP 15595. Access Info

The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the Arkansas Board of Nursing. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the Georgia Board of Nursing. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the South Carolina Board of Nursing. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the West Virginia Board of Examiners for Professional Registered Nurses. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the New Mexico Board of Nursing. CE Provider # 50-11975.

Instructor/Course Author: Dominick L. Flarey, Ph.D, MBA,RN-BC, ANP-BC, GC-C

Link to Resume: access here

Email: info@aihcp.org

This is a guided, independent study CE Course. You are to study and progress at your own rate. There are no written assignments. It is recommended that you follow this process for completion of the course :

1. Order your textbook for the course. Information and a link to order the book online are presented below.

2. Review the course objectives.

3. You are required to read/review all chapters in the assigned textbook, unless otherwise indicated by your instructor in this syllabus. As you read/review each chapter, you may want to stop and identify the corresponding questions on the exam related to the material of that chapter, and answer the questions on your printed out copy of the examination. You can obtain a printed copy of your examination simply by clicking on the link at the top of this syllabus “Printable Copy of The Exam.” This will allow you to work with your exam as you study the text book (s) and progress through your course. Then, when you have completed your examination using the printable copy, you will be ready to transfer your responses into the computer based examination program for final submission and grading. You can proceed doing this with each chapter, until you have completed your study of the textbook. Please read/review each chapter in sequence. Do not “skip” ahead, as each chapter builds upon the materials in the previous chapter.

4. Once you have completed all of the chapters in the textbook, you can proceed to your final online examination by clicking the “Access Online Exam” link below the course banner at the top of this syllabus. You can also download the exam as a PDF file by clicking on the “Printable Copy of The Exam” link next to Access Online Exam. If you wish you can print this file out as a printed off copy of your examination. Once you access the online exam you will see a screen that will ask you to input your Name, E-mail address, and your student ID/AH Number (AH####). Please fill out all of the requested information accurately. If you do not, we will not be able to identify who took the exam and your answers will be lost. The following slide will welcome you to your exam and present the introduction slide with further instructions on how to take the exam. Answer the questions to the best of your ability. There is only ONE correct response for each question.

5. When you have answered the final question, it will ask you to submit your answers. It will then show you your grade for the exam, and if you passed the exam it will allow you to review your answers. If you passed, the close button in the bottom right hand corner will take you to the course evaluation form. At which time, please fill out an evaluation so your grade can be processed. Once received, we will send you an e-mailed copy of your exam with the correct and incorrect answers.

5a. If you did not pass your examination, you will receive a notification stating failed. You will not receive any feedback on your answers. Please press the close button on the bottom right hand corner to exit your exam. At which point, contact the Assistant Executive Director @ Mark@aihcp.org,  for a chance to retake the exam. If you fail on your second attempt, you will fail the course and have to pay to retake it.

6. If you have successfully completed the examination with a passing score, we will process your CE Certificate, which will include the course title, the awarded contact hours of continuing education, and the date of completion. Your CE certificate will be e-mailed to you as a PDF file. You can expect to receive your certificate (via e-mailed PDF file) within 2-3 business days upon receipt of the completed evaluation form. No CE Course Certificate will be processed without a completed course evaluation. If you missed the course evaluation link after the exam, you can alternatively click the “Course Evaluation Form” at the top of this syllabus. Please note that the Organizations and the licensing Boards that provide our CE approvals all require that a course evaluation be completed by the course participant before a CE Course Certificate may be awarded; as such there are no exceptions. A course evaluation must be completed in order to receive your CE Course Certificate.

Assigned Chapters For This Course:

For new students please use the 4th edition of the textbook, with the publication date of “2018,” “Case Management: A Practical Guide for Education and Practice,” the 4th edition. Please read/study the following chapters for CM 520 and the examination:

Chapter 4: The Case Management Process
Chapter 6: Transitional Planning: Understanding Levels and Transitions of Care
Chapter 7: Quality Management and Outcomes Evaluation
Chapter 9: Ethical Principles in Case Management Practice
Chapter 11: Preparation for the Case Manager Role
Chapter 12: Strategies for Success in Case Management Practice

For older students who are using the third edition of the textbook, with the publication date of “2012,” “Case Management: A Practical Guide for Education and Practice,” please read/study the following chapters for CM 520 and the examination:

Chapter 5: Transitional Planning: Understanding Levels and Transitions of Care
Chapter 6: The Case Management Process
Chapter 7: Quality Management and Outcomes
Chapter 9: Ethical Issues in Case Management
Chapter 11: Job Stress and Success Factors in Case Management Practice
Chapter 12: Practicing Case Management by Proxy

TIME FRAME: You are allotted two years from the date of enrollment, to complete this course. There are no set time-frames, other than the two year allotted time. If you do not complete the course within the two-year time-frame, you will be removed from the course and an “incomplete” will be recorded for you in our records. Also, if you would like to complete the course after this two-year expiration time, you would need to register and pay the course tuition fee again.

TEXTBOOKS:

Case Management: A Practical Guide for Education and Practice, 4th edition, by Suzanne K. Powell & Hussein A. Tahan. Philadelphia: Lippincott, Williams & Wilkins, 2018.

  • ISBN-10: 1496384253
  • ISBN-13: 978-1496384256

Link to Purchase on Amazon.com: click here

GRADING: You must achieve a passing score of at least 70% to complete this course and receive the 25 hours of awarded continuing education credit. There are no letter grades assigned. You will receive notice of your total % score. Those who score below the minimum of 70% will be contacted by AIHCP and will be permitted one more attempt to retake the online examination.

FINAL EXAMINATION: It is recommended that you click on the “Printable Copy of Exam” near the top of the syllabus. It will download as a PDF file. Below are detailed instructions on how to take your exam.

1). When ready to start your final examination for the course, please click on the “Access Online Exam” link near the top of the syllabus.

2). You will be prompted to input your Name, E-mail Address, and Student ID # (AH####). You must fill this out, the exam will not allow you to proceed if you do not. It is very important that you use your full name, your valid e-mail address and your student ID/AH Number. If you do not input your correct information, we will have no way of identifying your exam and it will be deleted! All unidentifiable exams are deleted!

3). Next you will be taken to the introduction screen for your exam. There will be detailed instructions on how to take the online exam. Please review them and when ready click the “Continue” button on the bottom right hand side of the screen to begin your exam.

4). When you have answered all of the questions and are happy with your answers, the exam will prompt you to either “SUBMIT ALL” or “RETURN TO EXAM”. If you are ready press “SUBMIT ALL”.

5). If you received a passing score, you will receive a “Congratulations, you passed” screen with a green check mark. You will have a chance to review your questions and answers. A copy of your exam will be e-mailed to you within 1-2 business days.

5a). If you failed the exam, you will receive a “You did not pass” with a red X. You will have no chance to review your questions and answers. At this point, please contact Administration, Mark D. Moran, Assistant Executive Director for instructions on re-taking the online examination. You may retake the online examination one time. You will receive full instructions regarding the re-take of the examination.

6). After receiving a passing score, click the “CLOSE” button in the bottom right hand corner to close out of the exam and be redirected to the course evaluation form. You must fill out the course evaluation form in order for your grade to be processed and for you to receive an CE certification.

Note: all of our Examinations are Copy Written

COURSE EVALUATION: upon submitting your responses to the examination questions, you are required to complete the online Course Evaluation Form.  This will take you directly to the online evaluation form. Complete the evaluation and be sure to click the “submit” button. CE certificates will not be shipped unless a course evaluation is completed.

COMMUNICATION: This is a self-directed, independent study course. However, you may certainly submit to us questions or comments regarding the course materials. We will be sure to forward any questions you may have to the author of the course. You will then receive a follow-up response from the author. All of our course authors are fully educated and credentialed in the practice of Case Management. You may email any questions to: info@aihcp.org. Please be sure to include the full title of the course you are in, as well as the course code (provided above). If you have any questions at all or need any assistance, please do not hesitate to contact us.

INTERACTIVE STUDENT FACEBOOK GROUP
Please join the Interactive Facebook Group for Grief Counseling!

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We host a private (students only) Facebook page for Case Management. This page is dedicated for private use by all students in our case management courses. We highly encourage all of our students to “join” this private group. The group is used for:

  • Providing interactions between all students in the case management education program.
  • All members may post on the page as well as download documents and photos.
  • Interactions between students and faculty.
  • Meeting new colleagues/friends who have the same interests in case management.
  • Providing a medium for chat sessions among members of the group.
  • Providing new information to all student on an ongoing basis via posts in the room.
  • Stimulating discussions related to case management and other professional issues/topics.
  • Sharing articles, links to recommended websites, links to videos as well as links to events and other education resources.
  • Our staff provides up to date articles for your review. Articles are added almost on a daily basis. Reviewing the information is voluntary but highly recommended.

Joining the private Facebook group is voluntary. We do highly encourage you to join and participate. Your participation will enhance your learning and provide a platform for networking with your colleagues. Join the group today! You must ask for permission to join this group. Our staff will receive your permission notice and will verify your student status and then authorize your membership to the group page.

Important Information: You must have a Facebook account to join this group. If you have a Facebook account, just click on the link below and you will be taken to the Facebook sign in page. You would then log into your account. You will be on the Case Management private group page. Once you have clicked on the link, a notice will be sent to our administrative office and you will be authorized to the page. On your Facebook page, the group page will be listed on the left hand side of your page. You can click it at any time and enter the private page. If you do not have a Facebook account, it is easy to open one. The link below will take you to the sign in page and you can click on the link to open an account. Facebook accounts are free.

Click here to access the Case Management Private Facebook page 

Click here to Join The American Academy of Case Management Public Face Book Page 

AIHCP BLOG: Please visit our interactive web blog. Students and certified members are encouraged to visit our blog frequently. You will find useful articles, news, posts and much more related to the specialty area of Certification you are pursuing. Click the link above to access the blog. Then, click on the link on the right hand side that corresponds to the subject area you are studying. Feel free to posts replies, comments and news. Register to become active on the blog and contribute your own unique information for all to see and share. Sharing and interacting with your peers is an excellent learning process. By sharing you contribute to the ever growing body of knowledge in your specialty area.

STUDENT RESOURCE CENTER: Please access our student resource center. The Resource Center contains all of our current policies, as well as important information regarding classroom and examination accesses. Also included are trouble-shooting tips when a student has any difficulties with classroom or examination accesses. The Resource Center also provides other information regarding our continuing education and certification programs. Access to online libraries is also provided. To Access the Student Resource Center: click here.

Malpractice Insurance: Many are interested in seeking out companies that provide health care professional malpractice insurance. We have compiled a list of companies that you may contact directly regarding this. Most companies will provide you with a quote online. For information, click here.

Submit a Testimonial:  Students and certified members may submit a testimonial to our public Testimonials Page. Visitors to our website, especially those considering our certification programs, are keenly interested in hearing about the experiences of health care professionals who are enrolled in our programs. To submit a Testimonial, simply access the online Form: Access Here. You may also preview our current Testimonials Page Here.

COURSE OBJECTIVES: Upon completion of this course, you will be able to:

1. Identify and discuss common ethical dilemmas that present in case management practice.
2. Identify and discuss issues related to withholding and withdrawing of care.
3. Define the role of ethics committees
4. Discuss a model for ethical decision making
5. Review and understand various codes of professional ethics.
6. Review and understand the code of professional conduct for case manages.
7. Review and understand the tenets of the patients bill of rights.
8. Contrast and compare quality management and risk management.
9. Discuss the process for quality reviews in case management systems.
10. Identify risk management recommendations and prevention strategies.
11. Define and discuss the use of quality indicators in care delivery.
12. Understand the theory/concepts of discharge planning.
13. Discuss discharge planning assessment and implementation strategies.
14. Define common levels of patient care and discuss how they relate to discharge planning.
15. Discuss the concept and applicability of transition hospitals.
16. Define and discuss all types of subacute care levels.
17. Discuss hospice care and insurance reimbursements
18. Compare and contrast skilled vs non-skilled care services
19. Discuss regulations and issues related to home care services.
20. Discuss durable medical equipment, its regulations and reimbursement issues.
21. Define and discuss the stages of the case management process.
22. Identify the process of development and coordination of a case plan.
23. Identify the process for evaluation of a case plan.
24. Define issues and strategies relevant to pain management.
25. Compare and contrast case management vs managed care.
26. Identify communication and information-gathering techniques for case managers
27. Review selected case studies and discuss the core issues for case management care delivery.

COURSE CONTENT:

1. Ethical issues and dilemmas in case management practice
2. Advanced directives
3. Code for professional conduct
4. Role and process of ethics committees
5. Ethics decision making models
6. Rationing of health care
7. Standards of professional performance
8. Continuous quality improvement
9. Adverse patient outcomes
10. Occurrence reports and incident reports
11. Performance improvement
12. Quality assurance and total quality management
13. Assessing variances
14. Custodial care
15. Home health services
16. Hospice care
17. Intermediate care
18. Long-term care
19. Rehabilitation services
20. Skilled nursing care
21. Subacute care
22. Discharge planning
23. Stages of the case management process
24. Screening and assessment tools
25. Case plan development, implementation and evaluation
26. Pain management programs
27. Success factors in case management
28. Problem-solving techniques
29. Communication and information gathering techniques
30. Case management case studies

BEST WISHES WITH YOUR SECOND CASE MANAGEMENT COURSE !