This course describes the evolution of managed care and the challenges and opportunities it has created for nurses. Examine strategies and tools commonly utilized by nurses to ensure the long term success and financial viability of our health care delivery system.
About The Author(s):
- Explore present issues in professional practice including ethics, practice and standards
- List the eight key components of a home health care agency
- Describe the OASIS assessment and documentation
- Review home care reimbursement and applications of Medicare reimbursement rules
- Identify how managed care impacts physicians, nurses, and patients differently
- Describe the different financial methods utilized to reimburse health care services and identify the risks and opportunities associated with each
- Describe techniques and strategies employed to better manage patient care
- Describe disease management programs and their benefits related to cost and quality outcomes
Barbara Youngberg - BSN, MSW, JD, FASHRM
Barbara J. Youngberg, BSN,MSW, JD, FASHRM, is the Vice President of Insurance, Risk, Quality Management & Legal Services for the University HealthSystem Consortium (UHC). In this capacity, she has responsibility for the design and management of group professional liability and provider excess insurance programs and supporting risk, legal and quality management for 86 academic medical centers in the U.S., Japan, Australia and Switzerland. Ms. Youngberg is also on the faculty of the Loyola University College of Law - Health Law Institute and the Chicago Medical School - Finch University College of Health Sciences. She is the author of numerous books and articles on health care risk management, insurance, risk finance, nursing ethics, patient safety and health care law.
Vicki DeBaca - DNS, RN, CPHQ
Vicki DeBaca, DNS, RN, CPHQ, is Vice President, Health Services for Sharp HealthCare in San Diego California. She has an extensive nursing background including professional experience in acute hospitals, marketing organizations, community health agencies, ambulatory groups, and managed care organizations. Vicki has also taught Nursing in academic settings and has been involved in continuing education programs. She received her doctorate in Nursing Science from the University of San Diego.