Course Code: REL-ACU-0-CMLIR
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Identify healthcare laws that affect case management practice.
Determine interventions that decrease the legal liability for case managers.
Recognize common legal terminology related to case management.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Legal Introduction
Legal Definitions
Legal Terminology
Risk Management
Summary
Section 3: Standards of Practice
Standards of Practice
Code of Conduct for Case Managers
Standards of Practice for Social Workers
Standards of Practice for Nurses
Summary
Section 4: Federal Laws
Overview
The Health Insurance Portability and Accountability Act (HIPAA)
Healthcare Information Technology for Economic and Clinical Health (HITECH)
Emergency Medical Treatment and Labor Act (EMTALA)
The False Claims Act (FCA)
Stark Law and Anti-Kickback Statute
Patient Safety and Quality Improvement Act (PSQIA)
Patient Protection and ACA
Patient Self Determination Act (PSDA)
Summary
Section 5: End-of-Life Considerations
End-of-Life Treatment
Advance Directives
Physician Order for Life-Sustaining Treatment (POLST)
Hospice and Palliative Care
Physician-Assisted Suicide
Summary
Section 6: Professional Advocacy
Patient Capacity and Competency
Text Messaging and Chatbots
COVID-19
Summary
Section 7: Clinical Vignette
Karen and Mrs. Edwards
Section 8: Conclusion
Course Summary
Course Contributors
References
Subject Matter Expert: Katherine Schwegel, DNP, ACNP-BC
Dr. Schwegel is an Acute Care Nurse Practitioner and the Director of an Acute Case Management program. She has a doctorate of nursing practice with an emphasis on quality health care outcomes. Her case management experience includes acute, transitional and complex case management.
Writer: Kimberly Workman, MA
Ms. Workman is an Instructional Designer at Relias. She has a Master of Arts in Technology and Communication, as well as graduate certificates in Public Health, Epidemiology, and Digital Communications. Ms. Workman has a background in writing and designing online continuing medical education for physicians and other health professionals on multiple educational platforms, including web-based, game-based, and immersive learning environments. She has also used simulation training extensively to connect learning to real-world environments.
Target Audience:
The target audience for this course is: Case Managers; Nurses; Social Workers; in the following settings: Acute Care Facility.
Certification Review:
Case Management Nursing (CCM/CMGT-BC) Certification
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.