Access Point Case Management - Managing the 2 Midnight Rule,

Length of Stay and Denials

Access point case managers reside in emergency departments, admitting offices and transfer centers. Among their roles is to ensure that patients are placed in the right level of care upon admission. With the advent of the 2 midnight rule, this role has never been more important. In addition, they are vital in assisting in readmission reduction, discharge planning and patient flow.

In this webinar we will explore the unique roles of the ED and admitting office and transfer center case managers and social workers and how an initial assessment and clinical review can better ensure that patient are placed in the correct setting right from the get-go. We will review the 2 midnight rule and the part that case management plays in managing it. This can better ensure a reduction in use of Condition Code 44 or self-denials when patients get admitted to the incorrect level. ED staff also assists in reducing unnecessary admission and readmissions.

• Understand the Conditions of Participation(CoPs) for discharge planning
• Describe the components of the Social Security Act related to discharge planning
• Review strategies for safely transitioning your patient across the continuum
• Discuss the regulatory requirements associated with discharge planning
• Describe the IMPACT Act and its relationship to discharge planning
• Break down the components of patient choice