ABOUT THIS COURSE
Where physicians are involved in case management, they coordinate
such elements as referrals to consultants, specialists, hospitals, ancillary
providers and services. This is intended to eliminate inappropriate
utilisation of facilities and resources, fragmented services and to
provide continuity of services and intensity of services appropriate to
the patient's needs over time.
Case management involves delivering care across traditional
professional boundaries. This means that care teams must work
together as doctors and nurses, specialist doctors and primary care
doctors, and other combinations of clinical caregivers. Turf battles and
power struggles between and within professional groups must be
broken down to enable collaboration for the patient's best interest.
Therefore, managed care is the broad coordination of patient care and
collaboration with various care providers to ensure the appropriateness
of the treatment and the cost thereof. This includes peer reviews and
utilisation reviews of drugs and equipment, facilities and other
resources such as laboratory tests.
WHO SHOULD ENROL
Managers in healthcare and case managers.
COURSE DESIGN
The course will be offered through a combination of self-study and a
1-day interactive workshop facilitated by leading experts in the fields.
COURSE CONTENT
The following modules will be covered:
• Trends that are emerging that will cause more changes in the future
• Know who the role players are in the industry
• Core regulatory changes that affected the evolution of medical
schemes
• Emerging trends
• Reasons for the new focuses emerging from both medical aids and
administrators
• Objectives of Social Health Insurance
• Goals and objectives of Case Management
• The process of Case Management
• Critical success factors that drive Case Management
• Role and responsibilities of a Case Manager
• Importance of Case Management within the context of Managed
Care and cost containment
• Authorization of a patient treatment
• Critical success factors that drive Case Management
• Care plans and formularies and how they fit into the management of
an episode of care
• Compliance and know what to look for in the measurement of
clinical performance
• Global coding systems are so important
• Measure Case Management outcomes
• Data required to effectively Case Man Development, growth and
change of health care delivery over the last decade
• Factors that caused the changes
• ICD 10 coding
ASSESSMENT
Participants are assessed through means of a multiple-choice questionnaire.
CERTIFICATION
After successful completion of the course, participants will be awarded a certificate of attendance by the Foundation for Professional Development.
COURSE FEE
R3 150 (Incl VAT) The course fee excludes all participating travel and accommodation costs.
CLICK HERE TO REGISTER https://www.foundation.co.za/course/396/short-course-in-integratedcase-management-and-icd10-coding