Case Management: Legal Issues and Risk

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.

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.