Case Management Along the Continuum

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Case Management Along the Continuum

Date: October 14 - 17, 2012
Location: Boston, MA
Follow this Conference on Twitter: #Case12

Download Brochure Attendee Information

Overview

Invitation

Case management has emerged as a primary focus of healthcare delivery. The idea of managing the delivery of healthcare services to clients and patients across the continuum has never been more vital. Healthcare payment reform is now the platform for healthcare practice changes. Case managers are the best suited healthcare professionals to work with providers in all types of settings to improve quality and outcomes for healthcare consumers, and better manage the costs of services.

Join us at our 18th Annual Case Management Along the Continuum conference which will provide opportunities for case managers and case management administrators from multiple settings to come together and learn what's happening now and what potential there is for the future. Network with your peers from a variety of other organizations and leave with new tools, fresh ideas, and a different perspective.

Highlights of the conference include:

  • Two Preconferences: Emergency Department Case Management Services: Taking Center Stage in Healthcare Transformation - - providing you with excellent assessment and planning processes to meet the quickly changing environment and financial impact ofbusy emergency departments. Case Management Administration: What Are Experts Doing to Manage Complex Case Management Departments? - - covering administrative challenges faced by case managers,including staffing and conveying critical data to the right departments to improve clinical and financial outcomes.
  • Strategies for setting up discharge so that patients and family can successfully transition.
  • Defining accountability in case management and successful ways to apply these rules.
  • Creating changes in the senior suite of hospital management from case management practices.
  • Update on physician practice case management.

Mark your calendar now, share this information with your team members, and plan to attend what promises to be a dynamic educational experience. See you in Boston!

Jackie J. Birmingham, MS, BSN, RN, CMAC
Planning Committee Co-Chair

Brian Pisarsky, MHA, RN, ACM
Planning Committee Co-Chair

Kathryn Clayton, MSN, MBA, ALNC
Program Manager
Contemporary Forums

Conference Objectives

At the end of this conference participants will be able to:

  • Identify trends in the delivery of case management services across the continuum.
  • Describe factors that influence the increased utilization of case management services.
  • Analyze strategies that case managers can incorporate into their own practice for improvement of access, quality and outcomes of services.

Who Should Attend?

  • Care Coordinators/Managers
  • Case Managers and Directors
  • Certifi ed Disability Management Specialists
  • Consultants
  • Discharge Planners/Managers
  • Documentation Review Specialists
  • Educators
  • Utilization Review Staff and Managers

Online CE Library

Earn CE Credit Online at Your ConvenienCE
Contemporary Forums Online CE Library is your on-demand resource for quality healthcare continuing education. All online sessions are captured directly from our recorded live conferences and are ANCC/ACCME accredited.

  • 1000+ multimedia presentations from over 30 conferences
  • 2000+ contact hours of CE credit available
  • Earn CE credit immediately by completing online exams
  • Print your CE Certificates and track hours via your personalized CE Transcript link
  • Option to purchase single sessions or entire conferences at discounted prices

The Online CE Library is continually updated with new topics and features the latest evidence-based education in women's health, psychiatric nursing, contraception, pediatric and adolescent care, neonatal care and development, OB/GYN, critical care, nurse education, pharmacology, patient safety and more! Create your free account today at onlineCElibrary.com.

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Conference Program

Sunday, October 14

PRECONFERENCE A

Emergency Department Case Management Services: Taking Center Stage in Healthcare Transformation Introduction: Departments?

Join case management leaders to study Emergency Departments (ED), the fastest-evolving area in health care, as they address the changing needs of their surrounding communities while tackling increasingly complicated clinical, psycho-social, quality, and financial issues. Some hospitals and their EDs continue to be challenged to determine the appropriate level of care for patients.
Others have moved beyond to the successful use of observation units, discharge planning directly from the ED, decreasing revisits to the ED, as well as readmissions to acute care, specializing ED rooms for specific populations, and creating strategic care plans with the community and even competing hospitals for patients that are high utilizers and/or have complex medical and behavioral problems. This Preconference will cover rules, roles, regulations, and the all-important ROI (return on investment) as well as the latest innovations and predictions for ED care and case management.

Objectives Part I

  • Identify rationale, roles, functions, and competencies of the ED RN case manager and medical social worker in relation to the EDs physicians, multidisciplinary staff, and special stresses.
  • Describe lessons learned from implementation experiences in a wide range of hospitals, including rationale, FTEs, scheduling, orientation, handoffs, use of physician advisors, and hospital politics.
  • Review functions directly related to ED Case Management, such as access, transportation, bed placement, observation units, billing, software, and CMS regulations.

Objectives Part II

  • Evaluate the current and morphing role of EDs in the US society, economy, complex patient populations, and specialty EDs.
  • Participate in a national survey of current practice and predictions about the structure and function of EDs.

Sunday, October 14

7:00 a.m.

Preconference Registration

8:00

Part I: Implementing a Classic Emergency Department Case Management Program: Rationale, Roles, and ROI
Chris Nesheim, MS, RN, CMAC

9:30

Refreshment Break

9:45

Panel: Lessons Learned from Implementation Experiences
Karen Zander, MS, RN, CMAC, FAAN - Moderator
Bonnie Geld, MSW
Chris Nesheim, MS, RN, CMAC
Mary Fallon Smith, MS, RN, CCM
Kathy Walsh, PhD, RN

11:15

Lunch On Your Own

12:45 p.m.

Part II: Transforming EDs from the Back Door to the Front Porch
Karen Zander, MS, RN, CMAC, FAAN

2:00

Refreshment Break

2:15

Town Meeting: The Emergency Department of the Future: National Survey and Predictions
Karen Zander, MS, RN, CMAC, FAAN

3:15

Adjourn

Back to Top

PRECONFERENCE B

Case Management Administration: What Are Experts Doing to Manage
Complex Case Management Departments?

Introduction:
Hospital case management departments are at the core of the clinical and financial functions within a hospital. It is increasingly demanding to manage or direct a case management department as the regulations surrounding health care are changing so rapidly. The one constant in case management is change and the challenges are complex. Failure to navigate these changes can be financially catastrophic to your organization. This Preconference will be filled with fun, interactive, fast-paced, and dynamic sessions on some of the most challenging topics that case managers face today. The day will culminate in an Open- Space session for sharing ideas and experiences. This interactive session will assist you in developing a Change Package to take back to your organization to implement the valuable ideas and best practices you have identified.

Objectives

  • Identify the roles, structures and staffing models of some of the most successful case management departments.
  • Describe strategies to manage, display and communicate critical case management data to key stakeholders.
  • Identify 3 goals physicians, hospital administration, and case management departments have in common.
  • List and recognize specific case management components of both the OIG Work Plan and Hospital Conditions of Participation.
  • Identify at least one strategy/driver, key change concept, and action item to test your "Change Package."

Sunday, October 14

7:00 a.m.

Preconference Registration

8:00

Structuring/Staffing Your Case Management Department to Maximize Efficiency and Outcomes
Joan S. Prudhomme, BSN, RN, JD

8:50

Managing and Displaying Data for Your Case Management Department to Measure Progress and Accomplishments
Brian Pisarsky, MHA, RN, ACM

9:40

Refreshment Break

9:55

Aligning Physician and Case Management Goals for Success
Kathy Seward, MD

10:45

Questions and Discussion
Faculty Panel

11:15

Lunch on Your Own

12:45 p.m.

Developing a Compliant Case Management Process: How to Create and What to Avoid
Joan S. Prudhomme, BSN, RN, JD

1:35

Refreshment Break

1:50

Leveraging Your Department's Achievements with Both Physicians and the C-Suite
Kathy Seward, MD

2:40

Start Your Change Package/Open-Space: Sharing and Learning for Action
Joan S. Prudhomme, BSN, RN, JD
Brian Pisarsky, MHA, RN, ACM
Kathy Seward, MD

4:30

Adjourn

Monday, October 15

MAIN CONFERENCE

7:00 a.m.

Main Conference Registration  Exhibits

8:00

Keynote: Reinventing Case Management: The State-of-the-Art
Toni G. Cesta, PhD, RN, FAAN

8:45

Case Managers Don't Have Any Liability, Do They?
Joan S. Prudhomme, BSN, RN, JD

9:30

Refreshment Break  Exhibits

10:00

Evidence-Based Practice for Case Managers
Maureen Doucette, MSN, RN, MBA

10:45

What Our Patients are Telling Us: Are We Preparing Them for Post-Discharge Success?
Sherry L. Aliotta, BSN, RN, BC, CCM

11:30

Questions and Discussion
Faculty Panel

12:00 p.m.

Roundtable Luncheon with the Faculty:
Join your colleagues and faculty members for lunch and an interactive discussion of hot topics in case management. Prepare to discuss interesting case management challenges that you are facing. Each table will feature a faculty member who will facilitate a dynamic, problem solving discussion on case management business issues and challenges.
(Attendance is optional and requires a reservation. Cost of the luncheon is $55 and CE credit will be awarded. Register early since space is limited.)

1:30

Medicare Quality Improvement Organization 10th Statement of Work Contracts: Goals for Better Care, Better Health, and Lower Costs Through Improvement
Cheryl Lehane, RN, CPHQ

2:15

The State of State Programs and What We Wish We Knew About Them
Bonnie L. Smith, BSN, RN, MFA

3:00

Refreshment Break  Exhibits

3:30

Accountability in Case Management Practice: You Know the Rules, Now How Do You Apply Them?
Jackie J. Birmingham, MS, BSN, RN, CMAC

4:15

Questions and Discussion
Faculty Panel

4:45

Adjourn

5:15 – 9:15 p.m.

Old Town Trolley Tour of Boston
Board the Old Town Trolley for a special tour through Boston's historic past and urban present. The trolley will depart from the hotel at 5:15 p.m. and take you past the charming sites of Boston including the Boston Common, the Bunker Hill Monument, the site of the Boston Massacre, and much, much more. A stop at Quincy Market and Faneuil Hall will allow you time to select from many fine restaurants for dinner and to do some shopping. The tour will continue after dinner and return you to the hotel by 9:15 p.m.

Tickets for the Old Town Trolley Tour of Boston are $34 (which does not include the cost of dinner) and may be purchased when registering for the conference. Reservations must be received by October 10. No refunds given after that date. If a minimum number of reservations is not received, this tour is subject to cancellation. If you require special arrangements for this tour, please call (800) 377-7707 at least 30 days prior to the conference.

Tuesday, October 16

RS = Repeated Session

7:00 a.m.

Exhibits

8:00

CONCURRENT SESSIONS #1

#11 "The 180" – Moving Case Management from the Hospital Trenches to the Physician Practice in the Age of Accountability
Maureen Adams, MBA, RN

RS #12 Discharge Planning and Transition Management
Jackie J. Birmingham, MS, BSN, RN, CMAC

#13 Case Management of Psychiatric, Pediatric, and Forensic Populations
Bonnie L. Smith, BSN, RN, MFA

#14 Value-Based Purchasing and Its Impact on Case Management
Toni G. Cesta, PhD, RN, FAAN

9:30

Refreshment Break  Exhibits

10:00

CONCURRENT SESSIONS #2

#21 The Case Manager's Role in Interdisciplinary Care: Are Your Huddles a Hurdle?
Sherry L. Aliotta, BSN, RN, BC, CCM

#22 Community-Based Case Management: Building the Continuum
Donna J. Zazworsky, MS, RN, CCM, FAAN

#23 Using Information Technology in Case Management: Case Management Tools, Electronic Health Records - Efficiency and Effectiveness
Jan Lear, RN, CMC

RS #24 Discharge Planning and Transition Management
Jackie J. Birmingham, MS, BSN, RN, CMAC

11:30

Lunch on Your Own

1:00 p.m.

CONCURRENT SESSIONS #3

#31 Case Management in the Cloud: New Telehealth Applications to Reduce Readmissions
Donna J. Zazworsky, MS, RN, CCM, FAAN

RS #32 Application of Evidence-Based Case Management
Practices: Real World Case Studies

Maureen Doucette, MSN, RN, MBA

#33 Changing Your Case Management Model of Care
Jan Lear, RN, CMC

RS #34 Reducing Readmissions
Brian Pisarsky, MHA, RN, ACM

2:30 p.m.

Refreshment Break

3:00

CONCURRENT SESSIONS #4

#41 Social Workers and Case Management: A Partnership with Stronger Potential Than Ever!
Joseph A. Jackson, LICSW

RS #42 Application of Evidence-Based Case Management
Practices: Real World Case Studies

Maureen Doucette, MSN, RN, MBA

RS #43 Reducing Readmissions
Brian Pisarsky, MHA, RN, ACM

#44 Administrators: Preparation for a New Role – Were You Promoted? Hired from the Outside? Are You Ready?
Karen Zander, MS, RN, CMAC, FAAN

4:30

Adjourn

Wednesday, October 17

8:00 a.m.

What CEOs, COOs, and CMOs Don't Know About Case Management: What You as Managers and Practitioners Can Do to Change That
Brian Pisarsky, MHA, RN, ACM

9:00

Refreshment Break

9:15

Physician Practice Case Management: What Physician Practice Groups are Doing to Strengthen Care Coordination
Maureen Adams, MBA, RN

10:15

Feeling Good About Case Management: What Does It Take?
Karen Zander, MS, RN, CMAC, FAAN

11:15

Questions and Discussion
Faculty Panel

11:45

Conference Summary and Wrap-Up

12:00

Adjourn

Conference Faculty

Maureen Adams, MBA, RN
Associate Director of Clinical Operations
Internal Medicine and Case Management
Purchase, New York

Chris Nesheim, MS, RN, CMAC
System Director, Case Management
Lee Memorial Health System
Fort Myers, Florida

Sherry L. Aliotta, BSN, RN, BC, CCM
President/CEO
S.A. Squared Associates, Inc.
Evansville, Indiana

Brian Pisarsky, MHA, RN, ACM
Planning Committee Co-Chair
Manager: Clinical Operations Consulting
Huron Healthcare
Chicago, Illinois

Jackie J. Birmingham, MS, BSN, RN, CMAC
Planning Committee Co-Chair
VP Emeritus, Clinical Leadership
Curaspan Health Group, Inc.
Newton, Massachusetts

Joan S. Prudhomme, BSN, RN, JD
Clinical Solutions Manager
Dignity Health
Phoenix, Arizona

Toni G. Cesta, PhD, RN, FAAN
Senior Vice President, Operational Efficiency
and Capacity Management
Lutheran Medical Center
Brooklyn, New York

Kathy Seward, MD
Utilization Management Physician Advisor
New Hanover Regional Medical Center
Wilmington, North Carolina

Maureen Doucette, MSN, RN, MBA
Senior Product Consultant
McKesson Health Solutions
Norwalk, Connecticut

Bonnie L. Smith, BSN, RN, MFA
Deputy Commissioner, Programs
Maine Department of Health and Human Services
Augusta, Main

Bonnie Geld, MSW
Director of Care Management and Patient Placement
Baystate Medical Center
Springfield, Massachusetts

Mary Fallon Smith, MS, RN, CCM
ED Case Manager
Children's Hospital Boston
Boston, Massachusetts

Joseph A. Jackson, LICSW
President, ElderCare Advisors, Inc.
Lenox, Massachusetts

Kathy Walsh, PhD, RN
Consulting Associate
The Center for Case Management and Author, ED Case
Management (HCPro)
Nurse Case Manager
Massachusetts General Hospital
Boston, Massachusetts

Jan Lear, RN, CMC
Director of Case Management
MedStar Franklin Square Medical Center
Baltimore, Maryland

Karen Zander, MS, RN, CMAC, FAAN
Principal & Co-Owner
The Center for Case Management, Inc. South Natick, Massachusetts

Cheryl Lehane, RN, CPHQ
Contracting Officer Representative
Division of Quality Improvement
Boston Regional Office
Boston, Massachusetts

Donna J. Zazworsky, MS, RN, CCM, FAAN
Vice President, Community Health & Continuum Care
Carondelet Health Network
Tucson, Arizona

Accreditation

A Certificate of Attendance will be available online after you complete the course requirements, enabling you to register your credit with the appropriate licensing boards or associations. To apply for credit not listed below, use the procedure established by the specific organization.

Nurses and Nurse Practitioners
Preconference A: 5.25 ANCC/6.3 CA BRN contact hours
Preconference B: 6.5 ANCC/7.8 CA BRN contact hours
Main Conference: 16 ANCC/19.2 CA BRN contact hours
Roundtable Luncheon with the Faculty: 1 ANCC/1.2 CA BRN

Contemporary Forums is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Contemporary Forums is approved by the California Board of Registered Nursing, Provider #04516.
(CA BRN contact hour = 50 minutes)

Social Workers/Marriage, Family & Child Counselors
Preconference A: 5.25 CE credit hours
Preconference B: 6.5 CE credit hours
Main Conference: 16 CE credit hours
Roundtable Luncheon with the Faculty: 1 credit hour
This conference has been approved by the Washington Chapter, National Association of Social Workers (NASW) for Licensed Social Workers, Licensed Marriage & Family Therapists and Licensed Mental Health Counselors, Provider #1975-148.

This course meets the qualifications for continuing education credit hours for Marriage, Family & Child Counselors and/or Licensed Clinical Social Workers as required by the California Board of Behavioral Sciences, Provider #PCE771.

Case Managers
Preconference A: 5.25 clock hours
Preconference B: 6.5 clock hours
Main Conference: 16 clock hours
Roundtable Luncheon with the Faculty: 1 clock hour
This offering has been approved by the Commission for Case Manager Certifi-cation.

Certified Disability Management Specialists

This offering has been approved by the Certification of Disability Management Specialists Commission

Exhibits

To enhance your educational experience, we are inviting representatives from professionally relevant companies, organizations and hospitals to exhibit equipment, supplies, services and career opportunities. The schedule provides participants time for one-on-one discussion with exhibitors.

For exhibit space availability or additional information:
Call: (925) 361-4807
Email: exhibits@cforums.com
Visit: http://contemporaryforums.comexhibitors.html

Location

Historic Boston

Visit Boston, a city rich in culture and history, and discover why it's one of the most popular destinations in the world. Slip on your walking shoes and stroll past sites that shaped America on Boston's three-mile Freedom Trail. While admiring picturesque cobblestone streets and graceful 18th-century buildings, you'll see the Old South Meeting House, the U.S.S. Constitution, Paul Revere's House, the Old North Church and more. Or, head to the colorful 19th-century Faneuil Hall Marketplace and explore the unique shops, cafes and restaurants.

The conference is scheduled during Boston's most beautiful season – the colorful fall. The trees are turning amazing shades of orange, red and yellow -- perfect weather for a stroll along the Charles River or a visit to the nearby Boston Public Gardens for a picnic and Swan Boat ride. And, of course, no visit to Boston is complete without enjoying a beverage at Cheers!

Enjoy a spectacular display of sea life at the New England Aquarium, cheer on the Red Sox at Fenway Park or get tickets to see the famous Boston Pops. Visit Cambridge, just across the Charles River, for a look at the birthplace of higher education in America and the home of Harvard University. You may even want to extend your stay for a leisurely drive to Cape Cod and the islands of Martha's Vineyard and Nantucket where you can walk the miles of unspoiled beach or play a round of golf.

Located in the heart of historic Back Bay, the Sheraton Boston Hotel rises above the city, encompassing all the style and class of Boston. The Sheraton offers distinctive service and atmosphere, an indoor/outdoor swimming pool and rooftop patio and a complete range of amenities. Nearby you'll find some of Boston's finest shopping, dining, and entertainment, all within easy walking distance. The boutiques, galleries and cafes of fashionable Newbury Street, the upscale shopping at Copley Place, and such unique restaurants as Teatro, Mamma Maria's, Stephanie's on Newbury and Sonsie … all will enhance your visit to Boston.

From quaint Beacon Hill to the redeveloped waterfront, Boston offers many attractions for shoppers, restaurant connoisseurs and sightseers alike! For further information, contact the Greater Boston Convention & Visitors Bureau at (888) 733-2678 or visit them online at www.bostonusa.com.

Hotel/Travel

Hotel Accommodations

The conference will be held at the Sheraton Boston Hotel, 39 Dalton Street, Boston, MA 02199. A limited block of rooms is being held for you and your guests at special group rates which will be in effect, based on room availability, from October 13 to October 18 for those wishing to extend their stay to enjoy area activities or qualify for discount airfares.

Rates: $239 single/double
Rates are per room and subject to prevailing state and local taxes.

To obtain the special group rates, make your reservation early and before the "hotel room block release date" which is September 13. Rooms may sell out before this date so be sure to make your reservation now. After the release date, rooms and group rates may no longer be available so call the hotel regarding availability.

Reserve your hotel room online here.

For room reservations, call (888) 627-7054 and inform them that you are attending the Contemporary Forums' conference on Case Management Along the Continuum. Request a confirmation number and written confirmation of your reservation. Reservations must include a first night's deposit.

Contact the hotel regarding cancellation policy. For arrivals after 3 p.m., call the hotel on the day of travel to reconfirm reservations.

For additional hotel information, call the Sheraton Boston Hotel at (617) 236-2000.

Travel Discounts

UNITED AirlinesContemporary Forums has a special discount agreement with United Airlines unavailable to the general public. To obtain these special conference fares call the Special Meeting Desk at (800) 521-4041, Account Code 510CW. Ticketing and payment can be done directly by you or through your travel agent. To ensure the best flights and times, since seats are limited, make your reservations early. Fares are guaranteed at the time of the ticket purchase.

 

HertzHertz is the official car rental agency for the conference. Special rates will be in effect throughout the conference as well as one week before and after. For special rates, call HERTZ at (800) 654-2240 and refer to Contemporary Forums plus the conference discount code CV #03000259.

Fees

Registration Information

Registrations must include full tuition payment to be accepted. Registrations faxed without payment will not be processed. Conference communications are sent via email. When registering please provide attendee's best email address as some emails are filtered and blocked. Since conference registration and hotel rooms are limited, early registration is advised.

Out of consideration to registrants, children of any age and spouses may not attend the sessions.

Tuition (U.S. Funds)

Preconference A

Preconference B

 

Main Conference

 
Early Registration Fee*
(On/before September 4)
$250 $265 $635
Regular Registration Fee
(After September 4)
$285 $295 $675

*Postmarked or phone/fax/online registration and fees received on/before September 4.
Your tuition includes refreshment breaks, Certificate of Attendance, and Online CE Library access to posted presentation handouts before and after the conference.

Group Discounts (Mail, fax or call in together. Online registration is not available.)
Tuition discounts are given to groups of 3 or more registering for the complete Main Conference. Discounts do not apply to the Preconferences. To qualify for the group discount, all registration information must be complete for all group members, payment included and forms sent together. If faxing, list all group members on cover sheet. Subtract the discount from the tuition fee. Groups may not be formed after individual registrations are received.

$25 per person discount for 3 or 4 in a group
$45 per person discount for 5 or more in a group

Method of Tuition Payment
Make payment by check (payable to Contemporary Forums and enclose with Registration Form), Visa, MasterCard, Discover, American Express or Purchase Order. A $30 fee is charged for any returned check. Personal checks are NOT accepted at the conference. Purchase Orders must be received with registration by the conference date and include the P.O. number, invoice address, tuition, approval signature, contact name, email address and phone number.

Tax Deductibility
Expenses of training, tuition, travel, lodging and meals to maintain or improve professional skills may be TAX DEDUCTIBLE. Consult your tax advisor.

Partial Attendance (Online registration is not available.)
To register, call Contemporary Forums for tuition and CE credit for individual days. Group discounts do not apply. Registrations may not be shared.

Cancellations
Cancellations may be made by phone or in writing. Cancellations received on/before September 4 receive a full tuition refund. Cancellations received after September 4 are assessed a $20 processing fee. No refunds for cancellations received after the conference begins or for "no shows." If this meeting is cancelled for any reason, including labor strikes or acts of God, liability is limited to a full refund of registration fees.

Program Changes
Contemporary Forums reserves the right to make necessary changes in speakers, topics or schedule. The most current program can be found on our website.

Questions?
Contact Contemporary Forums at (800) 377-7707, Monday - Friday, 8 a.m. - 5 p.m. (Pacific Time) or email info@cforums.com.

If you require special arrangements at this conference, call (800) 377-7707, at least 30 days prior to the conference.

Rave Reviews

"Thank you for being ahead of the curve with your cuttingedge presentation on the hospital revenue cycle."

- Natalie Orloff, RN, CPHM, CCM • Canyon Country, CA

 

"The conference content was timely and relevant to case management practice. The faculty were subject matter experts who easily engaged with the attendees. I appreciated the balance between facts, experiences and recommendations to improve practice."

- Donna Ukanowicz, MS, RN, ACM • Houston, TX

 

"This conference covered a wide range of case management topics, meeting the needs of all attendees. The take-aways were beyond my expectations. Too numerous to mention. Awesome speakers and excellent information. Will de? nitely attend next year."

- Barb Eshleman, RN, CCM, LNC • Brady, NE

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