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Healthcare Data in Case Management: Decision-Making

This course explains how data is used by case managers and social workers in decision-making, and in particular, how decision-making is guided in the era of big data. Designed for case managers and social workers, this course highlights how to use data in decision-making and explores the real-world impact of data on identifying at-risk patients, outcomes, payers, and performance.

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CERTIFICATES REVIEWS DETAILS

Association of Social Work Boards

As a Jointly Accredited Organization, Relias LLC is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Relias LLC maintains responsibility for this course. Social workers completing this course receive 1.5000 General continuing education credits.
Course Delivery Format: Asynchronous Distance Learning-interaction includes quizzes with questions and answers, post-tests. This module is Reading-Based Online.
Commission for Case Manager Certification

This program has been pre-approved by The Commission for Case Manager Certification to provide 1.5000 hours of continuing education credit to CCM® board certified case managers.
Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling

Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (CEBroker Provider #50-290)
This activity is approved for 1.5000 contact hours.
Florida Board of Psychology

Florida Board Of Psychology (CEBroker Provider #50-290)
Psychologists will receive 1.5000 hours.
Kansas Behavioral Sciences Regulatory Board - Social Workers
Michigan Board of Social Work

Michigan Board of Social Work (CEBroker Provider # 50-290)
This activity is approved for 1.5000 contact hours.
New Hampshire Board of Mental Health Practice
New York State Education Department, Office of the Professions, Division of Professional Licensing Services, Social Work Unit
Relias, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0009. Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of licensed master social work and licensed clinical social work in New York. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice for an LMSW and LCSW. A licensee who practices beyond the authorized scope of practice could be charged with unprofessional conduct under the Education Law and Regents Rules. As a provider of online, asynchronous education, some courses offered by Relias Learning are considered “self-study” under section 74.10(c)(2)(ii)(b)(4) of the Commissioner’s Regulations. The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months. Social workers will receive 1.5000 continuing education hours for participating in this course. This activity is approved for 1.5000 contact hours.
North Dakota Board of Social Work Examiners

North Dakota Board of Social Work Examiners (CEBroker Provider # 50-290)
This activity is approved for 1.5000 contact hours.
Ohio Social Worker Board
Continuing education accepted due to a rule change accepting other state licensing boards for counselors, social workers, marriage & family therapists.
South Carolina Board of Social Work Examiners

South Carolina Board of Social Work Examiners (CEBroker Provider 50-290)
Tennessee Board of Social Workers
West Virginia Board of Social Work

West Virginia Board of Social Work (CEBroker Provider #50-290)

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Course Code: REL-PAY-0-HDCMDM

Hours: 1.5

Type: Online Course

Content Expiration Date: 12/31/2028

Learning Objectives:
Identify key characteristics of big data in healthcare and how big data impacts healthcare today.
Recall common challenges to using data for decision-making in healthcare today.
Apply knowledge of how case managers use data to improve care outcomes and measure case management performance.
Recognize how data drives better healthcare through evidence-based decision-making, application of medical necessity criteria, and utilization management.

Outline:
Section 1: Introduction to Healthcare Data

Meet Jamal

Overview of Healthcare Data

Big Data

Data Sources

Types of Data Analytics

The Benefits of Data-Based Decision-Making

Knowledge Check

Key Takeaways

Section 2: Managing Data

Overview of Data Management

Data Challenges

How to Best Use Data

Knowledge Check

Key Takeaways

Section 3: Data and Decision Making

Using Data for Decision Making

Medical Necessity Adherence

Utilization Review

Quality and Performance

Knowledge Check

Key Takeaways

Section 4: Conclusion

Course Summary

Course Contributors

Resources

References

Writer: Sarah Hunter RN, SCRN, CNRN, CMSRN

Ms. Hunter is a SME writer at Relias. Her area of expertise is neuroscience nursing, medical-surgical nursing, and thoracic surgery. Ms. Hunter has worked at the bedside for 9 years in acute care and intermediate care at a large community hospital in North Carolina. She also served as chair of the hospital's shared governance council for Nursing Quality Improvement. She has a Bachelor of Arts and an Associate Degree in Nursing. Ms. Hunter is a Stroke Certified RN, Certified Neuroscience RN and a Certified Medical-Surgical RN.

Subject Matter Expert: Carol Ogrodnik, RN, BSN, CCM

Ms. Ogrodnik is a subject matter expert for Interim Healthcare. Her area of expertise is case management and she has over 40 years of experience in varied settings including acute care, long term care, and military medicine. She has a Bachelor’s of Science in Nursing degree.

Target Audience:
The target audience for this course is: Advanced Practice Nurses; Care and Case Managers; Nursing Personnel; in the following settings: Ambulatory Care, Clinics: Primary Care, Clinics: Rural Health, Hospitals: Acute, Hospitals: Critical Access (CAHs).

Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.

Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.

All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.

To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.

Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.

$25.00

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