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LOGO Best in Class Case Management & Professional Case Management Training Options Catherine M. Mullahy, RN, BS, CRRN, CCM Jeanne H. Boling, RN, MSN, CCM

Indian Health Services Best In Class CM 2.15.12 rev2

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Page 1: Indian Health Services Best In Class CM 2.15.12 rev2

LOGO

Best in Class Case Management

& Professional Case Management

Training Options

Catherine M. Mullahy, RN, BS, CRRN, CCM

Jeanne H. Boling, RN, MSN, CCM

Page 2: Indian Health Services Best In Class CM 2.15.12 rev2

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Catherine Mullahy &

Jeanne Boling

Page 3: Indian Health Services Best In Class CM 2.15.12 rev2

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CV Highlights

Catherine M.

Mullahy, RN, BS, CRRN, CCM

National/International Speaker & Consultant on

Case Management

Author, The Case Manager’s

Handbook, Fourth Edition

Former President, Case Management Society

of America

Former Chair Commission for Case Manager

Certification

Former Owner, Options Unlimited

Former Vice President, Matria Healthcare, now

Alere Medical

President, Mullahy & Associates, LLC

Jeanne H. Boling, RN, MSN, CCM

National Speaker/Consultant on Case

Management

Former Executive Director Individual Case

Management Association

Former Executive Director Case

Management Society of America

Former Vice Chair Commission for Case

Management Certification

Former Director, URAC

Owner, LNC Associates, LLC

Vice President, Mullahy & Associates, LLC

Page 4: Indian Health Services Best In Class CM 2.15.12 rev2

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Mullahy & Associates, LLC

Our Focus

Consulting, Program Design and Customization for Implementation of state of the art

case management practice within unique cultures to meet organizational goals of…

Medical practices

IHS

Hospitals

Clinics

Managed care organizations

Accountable care organizations

VA

Other healthcare systems

Page 5: Indian Health Services Best In Class CM 2.15.12 rev2

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Mullahy &

Associates

M&A Client

Indian Health Service• 2001

• 2005

• 2008

• 2009

• 2010

• 2011

Dedication to consulting/customizing the programs specifically for the Indian Health Service

Page 6: Indian Health Services Best In Class CM 2.15.12 rev2

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Mullahy & Associates

Recent History

2010-2011 Veteran’s Administration

• Miami

• Atlanta

• Columbia

• Birmingham

• Los Angeles/Long Beach

• Las Vegas

• Loma Linda

• San Diego

• National OIF/OEF Case Load Consultants

Dedication to customizing the programs specifically for the VA

Page 7: Indian Health Services Best In Class CM 2.15.12 rev2

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Mullahy &

Associates

M&A Client Best in Class Case Management

The Business of Case Management

Direct to Consumer Case Management

Managing Case Management

for Gannett Corporation, publisher of USA Today

• 2008

• 2009

• 2010

• 2011

• 2012

Page 8: Indian Health Services Best In Class CM 2.15.12 rev2

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Mullahy &

Associates

Our programs train participants to

meet specific IHS Organizational

Goals.

Page 9: Indian Health Services Best In Class CM 2.15.12 rev2

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Mullahy &

Associates

Please visit our YouTube Video

featuring the Mullahy & Associates

Best in Class Case Management

Program at the following link….

View Video Here.

Page 10: Indian Health Services Best In Class CM 2.15.12 rev2

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Interactive Learning Experiences

Interactive

Adult Learning

Page 11: Indian Health Services Best In Class CM 2.15.12 rev2

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Summary of IHS

Training Options

2 or 2 1/2 Day Best in Class Case Management

1 Day The Function of Care Coordination: From Concept to Reality

2 Hour Overview of Care Coordination within the Team: From Concept to Reality

Key Policy Review and Recommendations for Maximization of Your Initiative

Ongoing Consulting to various of your locations throughout implementation

Page 12: Indian Health Services Best In Class CM 2.15.12 rev2

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Indian Health Service

Training

Sioux City, Iowa

Page 13: Indian Health Services Best In Class CM 2.15.12 rev2

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Best in Class

Case Management.

2 or 2 ½ Day ProgramTarget Audience: Physicians, Nurses, RN Case Managers, RN

Care Coordinators, Social Workers & New Staff Orientation

The Cornerstone of the Programs

Includes Workbook and Discounted Fourth

Edition of The Case Manager’s Handbook

Testimonials from previous IHS Programs

follow

Agenda follows

Page 14: Indian Health Services Best In Class CM 2.15.12 rev2

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Best in Class Case Management

Agenda

2 Day Program Schedule and Course Content - Day 1

7:30 AM Registration

8:00 AM Introductions

8:30 AM What & Why Case Management, Knowledge and Skills Required

and Goals of CM

9:30 AM Break

9:45 Case Management: The Work Format and Process Applied

12:00 N Lunch (On Your Own)

1:00 PM Key Concepts Q&A

1:45 PM Break

2:00 PM Effective Communication Skills and Communications Scenarios

3:15 PM Lines of Insurance

3:45PM Case Studies IHS

4:30 PM Adjournment

Page 15: Indian Health Services Best In Class CM 2.15.12 rev2

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Best in Class Case Management

2 Day Program Schedule and Course Content - Day 2

7:30 AM Registration

8:00 AM Community Resources

9:00 AM Legal, Risk Management, and Legislative Issues

10:00 AM Break

10:15 AM Ethical Issues in Case Management & Case Studies

11:15 Cultural Issues

12:15 Lunch (On Your Own)

1:15 PM Behavioral and Psychosocial Issues

2:15 PM Clinical Functional Satisfaction Outcomes

3:15 PM Break

3:30 PM Case Studies IHS

4:15 PM Moving Toward the Future

4:30 PM Adjournment

The Case Manager’s Handbook, Fourth Edition is included in the

program for ongoing reference.

Page 16: Indian Health Services Best In Class CM 2.15.12 rev2

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Best in Class Case Management

Additional 1/2 Day Program Conclusion

assists with implementation at your facility Schedule And Course Content – Day 3

7:30a Registration

8:00a AM -9:30AM Making the Content Yours……Best In Class

Case Management Applied

Problem solving to implement the processes within IHS. Q&A

9:30 AM Interactive Exercise and Team Activity Collaboration

10:30 AM-10:45AM Break

10:45 AM IHS Summary

12:15 AM Adjournment

Page 17: Indian Health Services Best In Class CM 2.15.12 rev2

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Interactive Learning Experiences

IHS Testimonials

“In all my 12 years at IHS, this is the very best

training session I have ever attended! Thank you for

an excellent professional presentation!...”- Yakama

Indian Health Service

“Very good presentation – very informative… I

finally got the answers to my questions re: case

managers… Speakers radiated a true passion for

patient advocacy which I appreciated…”- Bishop

California

Page 18: Indian Health Services Best In Class CM 2.15.12 rev2

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Interactive Learning Experiences

IHS Testimonials

“All of the training was helpful, I great

training, excellent presenters”.- Lawton Indian

Hospital Business Office Manager

“I think all public health nurses in IHS should receive

this training along with discharge planners, social

workers, doctors etc. “- IHS Public Health Nurse

Page 19: Indian Health Services Best In Class CM 2.15.12 rev2

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Options for

Consideration

Best in Class Case Management: From

Concept to Reality 1 Day Program Target Audience: Physicians, Pharmacists, Clinical Support

Staff, Psychologists, Dietitians

Intensive Program

Agenda

Page 20: Indian Health Services Best In Class CM 2.15.12 rev2

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Best in Class Case Management: From Concept to Reality

1 Day Program

Schedule and Course Content - Day 17:30 AM Registration

8:00 AM Introductions

8:30 AM Today’s World…Evolving Models of Care, CMS, Patient Protection Act of 2010….What & Why is Case Management, Knowledge and Skills Required and Goals of CM

9:30 AM Break

9:45 AM Case Management: The Standards of Practice, Work Format and Process Applied

11:00 AM Case Manager and Care Manager Functional Statements and Competencies Required

11:45 N Lunch (On Your Own)

12:45 PM Patient Stratification….which patients should be referred to a Case Manager, Are orders required? How the team works together. CM Case Loads, Documentation

1:30 PM Legal and Ethical Issue Overview for a Case Management Program

2:30 PM Positive & Productive Communications Between CM & Provider, CM & Administration, CM & Patients…the ongoing collaborative team.

3:00PM Break

3:15 PM Demonstrating Value….Patient Outcomes Utilizing Community Resources….Resources available to and through Case & Care Managers

3:45PM Case Studies…Provider, Care Manager & Case Manager work together as a team on each of these

4:30 PM Summary Q&A

5:00 PM Adjournment

Page 21: Indian Health Services Best In Class CM 2.15.12 rev2

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Best in Class Case Management:

Winner of Platinum Award

presented at the National Press Club

Page 22: Indian Health Services Best In Class CM 2.15.12 rev2

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Options for

Consideration

Best in Class Case Management

2 HR ProgramTarget Audience: Executives, Administrative

Staff, Clerical Personnel

Overview of Condensed Intensive Program

Help ancillary personnel understand the CM

Role and relate to them

Agenda

Page 23: Indian Health Services Best In Class CM 2.15.12 rev2

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Options for

ConsiderationBest in Class Case Management

2 HR Program

Schedule and Course Content – 2 Hour

What & Why is Case Management, Knowledge and Skills Required and Goals of CM

Patient Stratification….which patients should be referred to a Case Manager, Are orders required? How the team works together. CM Case Loads, Documentation

Case Management: The Standards of Practice, Legal Implications

Positive & Productive Communications Between CM, Provider, IHS, Administration, CM and Patients…the ongoing collaborative team.

Demonstrating Value….Patient Outcomes

Page 24: Indian Health Services Best In Class CM 2.15.12 rev2

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Columbia, SC Best in Class Case

Management Class October, 2010Testimonials

Excellent presentation. Really enjoyed this class.

Would like for all of our CMs to get a chance to

participate in the class.

Really good mix of info and presentation of material.

Appreciated the quick pace but never felt rushed.

Great speakers! Very personable, especially when

sharing their personal experience. Speakers were very

passionate about what they were teaching.

Page 25: Indian Health Services Best In Class CM 2.15.12 rev2

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Options for

Consideration

Key Policy Reviews and

RecommendationsMs. Mullahy & Ms. Boling would interface in a one-on-one with

the key decision makers to review existing case

management policies and provide advice and specific

recommendations regarding their modification to facilitate

“Best in Class” Practices.

Page 26: Indian Health Services Best In Class CM 2.15.12 rev2

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Columbia, SC Best in Class Case

Management Class October, 2010Testimonials

"Totally awesome conference! An honor to learn from

such distinguished experts in the field! Look forward

to more conferences and greater learning!" - Melissa

Neuman, RN - Pearl City, HI

"I am glad I attended the seminar. Well worth the

expense." - Maria Luisa

Raneses, RN, BSN, CCM, CRRN - Alexandria, VA

Page 27: Indian Health Services Best In Class CM 2.15.12 rev2

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Options for

Consideration

e-Training Newsletter, issued Quarterly for One Year

Following the Initial Training Program

Each case manager would receive a copy of an e-Training

Newsletter providing important tips and reminders for

achieving and maintaining “Best in Class” practices.

Page 28: Indian Health Services Best In Class CM 2.15.12 rev2

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Testimonial

"Catherine and Jeanne were effective, engaging, and collegial. As a social

worker, I am especially appreciative of the advocacy for all of us in case

management to work as a team and draw on each other's skills and

strengths." - Maria Hood, LCSW, ACSW, CCM - White Plains, NY

Page 29: Indian Health Services Best In Class CM 2.15.12 rev2

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Testimonials

Prepared me for the CCM exam. Wonderful! A tremendous amount of information. I did not want the course to end. The presenters were well prepared and knowledgeable.

The presentation exceeded my expectations. In fact, I was inspired to pursue what I learned these two days to become certified in case management.

Page 30: Indian Health Services Best In Class CM 2.15.12 rev2

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A Partnership for

Improved Outcomes

We look forward to discussing possible

programs with you …

Page 31: Indian Health Services Best In Class CM 2.15.12 rev2

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A Partnership That

Works!

Mullahy & Associates, LLC

82 Main Street, Suite 300

Huntington, NY 11743

Phone: 631-673-0406

Emails:

[email protected]

[email protected]

Website:

http://www.mullahyassociates.com

Page 32: Indian Health Services Best In Class CM 2.15.12 rev2

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Mullahy &

Associates, LLC

Your thoughts…….

How can we best serve YOU?

Page 33: Indian Health Services Best In Class CM 2.15.12 rev2