Case Management: Legal Issues and Risk
Hours: 1.00
Numerous laws affect healthcare delivery. Many are aimed at patient protection and quality healthcare. Standards of practice and licensure laws govern practice for all healthcare providers. Federal laws have been enacted to protect sensitive health information, improving care delivery and communication between providers. The COVID-19 pandemic has also affected legislation governing healthcare delivery. In an ongoing effort to improve access to care, the Centers for Medicare and Medicaid Services (CMS) also institutes changes to standards and guidelines for healthcare providers.
Numerous laws affect healthcare delivery. Many are aimed at patient protection and quality healthcare. Standards of practice and licensure laws govern practice for all healthcare providers. Federal laws have been enacted to protect sensitive health information, improving care delivery and communication between providers. The COVID-19 pandemic has also affected legislation governing healthcare delivery. In an ongoing effort to improve access to care, the Centers for Medicare and Medicaid Services (CMS) also institutes changes to standards and guidelines for healthcare providers.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.00 contact hours for participating in this course.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.00 Nursing Contact Hours after successfully completing this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.00 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Michigan Board of Nursing
Michigan Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Wyoming Board of Nursing
Wyoming Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Kansas State Board of Nursing
Kansas State Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
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 1.00 contact hours.
Ohio Social Worker Board
Ohio Counselor, Social Worker and Marriage and Family Therapist Board (CEBroker Provider # 50-290)
This activity is approved for 1.00 contact hours.
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 1.00 Ethics continuing education credits.
Course Delivery Format: Asynchronous Distance Learning-interaction includes quizzes with questions and answers, post-tests. This module is Reading-Based Online.
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 1.00 continuing education hours for participating in this course. This activity is approved for 1.00 contact hours.
South Carolina Board of Social Work Examiners
South Carolina Board of Social Work Examiners (CEBroker Provider 50-290)
West Virginia Board of Social Work
West Virginia Board of Social Work (CEBroker Provider #50-290)
Tennessee Board of Social Workers
Commission for Case Manager Certification
This program has been pre-approved by The Commission for Case Manager Certification to provide 1.0000 hours of Ethics continuing education credit to CCM® board certified case managers.
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
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. Disclosure: Katherine Schwegel, DNP, ACNP-BC has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.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. Disclosure: Kimberly Workman, MA discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
The target audience for this course is: Case Managers; Nurses; Social Workers; in the following settings: Acute Care Facility.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, 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.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
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.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
