Registration fees for webinars are $175/member and $300/non-member unless otherwise noted in an event description.

NDHA is an approved provider of continuing education by the North Dakota Board of Examiners for Nursing Home Administrators.

Access Point Case Management & the Two-Midnight Rule

Date: 02/27/2020

1:30 PM - 3:00 PM

Access Point Case Management (CM) and the Two-Midnight Rule


Course Curriculum

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 Two-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.

Learn how to prioritize which patients need case management at your routes of entry and how these positions can assist in-patient case managers as well. We will complete this webinar with a discussion of how to measure the impact of these roles on the department and the hospital.


Toni G. Cesta, Ph.D., RN, FAAN is a founding partner of Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating case management models in the acute care, emergency department and outpatient settings. Dr. Cesta writes a monthly column called "Case Management Insider" in the Hospital Case Management newsletter in which she shares insights and information on current issues and trends in case management.

The speaker has no real or perceived conflicts of interest that relate to this presentation.

Learning Objectives

  • Explain the concept of access point case management.
  • Discuss the role of the RN case manager.
  • Describe the role of the social Worker.
  • Explain the relationship between the Two-Midnight Rule and case management.
  • Discuss how to prioritize access point patients.
  • Identify the role of through-put at access points.
  • Discuss the positive outcome achieved by access point case management.