Swing Bed: Beyond the Basics


Available Now – Self Paced and On-Demand



The prices will be reduced to $200 if purchased in conjunction with the Swing Bed Basics Certification Course


Section 1861(e) of the Social Security Act allows certain small, rural hospitals and critical access hospitals (CAHs) approved to provide swing bed services to use their beds for acute care or post-hospital skilled nursing facility (SNF) care. These rural hospitals and CAHs increase Medicare patient access to post-acute SNF care.


According to the 2020 CMS interpretive guidelines for swing beds in Critical Access Hospitals (CAHs), “a ‘swing-bed’ is a change in reimbursement status.” As a payment model, then, a CAH can use its beds interchangeably for either acute care or post-acute care. The reimbursement “swings” from billing for acute care services to billing for post-acute skilled nursing services, even though the patient usually stays in the same bed in the same physical location.

The Swing Bed: Beyond the Basics course will focus on six key elements of a successful Swing Bed program including:

 – Compliance with Appendix PP (as applied to Swing Bed)

 – Understanding and implementing culturally-competent trauma-informed care

 – Improving Swing Bed performance metrics

 – Maintaining current Swing bed Policies and Procedures

 – Engaging and motivating the Swing Bed team

 – Growing the Swing Bed program

The regulatory portion of the course will be based on CMS requirements in the State Operations Manual Appendix W, State Operations Manual Appendix PP, and Medicare Benefit Policy Manuals including Chapter 8.

Who Should Attend:

The course is designed for anyone responsible for overseeing, coordinating, or participating in a Swing Bed program, or anyone wanting to increase their knowledge about Swing Bed.   Recommended participants include Chief Nursing Officers, Swing Bed Coordinators, Case Managers, Social Workers, Physical Therapists, Occupational Therapists, Speech Therapists, Dieticians, Dietary Managers, Pharmacists, and Marketing.

Delivery Format:

The course is divided into six (6) modules. Each module may take up to two (2) weeks. The development of care coordination skills occurs when knowledge and practice are combined. This Swing Bed Beyond Basics for Critical Access Hospital Self-Paced Certificate Course will put knowledge into practice as participants are immersed with interactive discussion board and optional monthly check-ins with the instructors. The education will be delivered in a virtual environment using a combination of pre-recorded didactic presentations, asynchronous discussion threads, and a virtual meeting space for a live monthly discussion with the instructors.


Module 1 – Navigating Appendix PP

Review of applicable Interpretive Guidelines for Swing Bed included in Appendix PP.

Module 2 – Culturally Competent Trauma Informed Care

Overview of culturally competent trauma-informed care and strategies for implementation.

Module 3 – Swing bed Performance Measures and Reducing Readmissions

The importance of collecting Swing Bed performance measures will be discussed as well as strategies for reducing readmissions.

Module 4 – Swing Bed Policies & Procedures

Policies and Procedures required by Appendix PP will be discussed as well as strategies for keeping P&Ps current.

Module 5 – Engaging the Team

Principles for engaging the Swing bed team will be discussed including roles & responsibilities.

Module 6 – Strategies for Growth

Strategies for growth will be presented including:  the importance of admission criteria, monitoring length of stay and internal / external marketing.


At the completion of this course, the participant will be able to:
– Module 1: Understand how to navigate Swing Bed Interpretive Guidelines in Appendix PP
– Module 1: Identify at least six (6) interpretive guidelines in Appendix PP related to Swing Bed regulatory requirements in Appendix W
– Module 2: Define Culturally-Competency and Trauma-Informed Care
– Module 2: Identify at least two ways to implement Culturally-Competent and Trauma-Informed Care
– Module 3: Identify at least four (4) Swing Bed process or outcome measures
– Module 3: Identify at least two (2) causes of readmissions and strategies to reduce readmissions
– Module 4: Identify at least eight required Swing Bed policies
– Module 4: Describe process for ensuring Swing Bed policies are current
– Module 5: Identify at least two (2) strategies for improving collaboration and teamwork for those involved in caring for Swing Bed patients
– Module 5: Describe roles and responsibilities of Swing Bed team members
– Module 6: Identify at least two (2) strategies for Swing Bed growth
– Module 6: Describe the differences in marketing strategies for different constituents including internal, community and referral sources

Continuing Education Credit Calculations:

Module 1: Objectives 01-02/Recommend 2 wks. per module/Asynchronous Discussion & Clinical Practice (3 Hours); Recorded Lecture (30 Minutes)/1.5 hrs.

Module 2: Objectives 03-04/Recommend 2 wks. per module/Asynchronous Discussion & Clinical Practice (3 Hours); Recorded Lecture (30 Minutes)/1.5 hrs.

Module 3: Objectives 05-06/Recommend 2 wks. per module/Asynchronous Discussion & Clinical Practice (3 Hours); Recorded Lecture (30 Minutes)/1.5 hrs.

Module 4: Objectives 07-08/Recommend 2 wks. per module/Asynchronous Discussion & Clinical Practice (3 Hours); Recorded Lecture (30 Minutes)/1.5 hrs.

Module 5: Objectives 09-10/Recommend 2 wks. per module/Asynchronous Discussion & Clinical Practice (3 Hours); Recorded Lecture (30 Minutes)/1.5 hrs.

Module 6: Objectives 11-12/Recommend 2 wks. per module/Asynchronous Discussion & Clinical Practice (3 Hours); Recorded Lecture (30 Minutes)/1.5 hrs.

Total:  9 hrs

Continuing Education Credit Information:

HealthTech Management Services D/B/A HealthTech is a Provider approved by the California Board of Registered Nursing. Provider Number CEP8769 for 9.0 contact hours. Participant must complete all course work – no partial credit will be given. A certificate of completion will be provided by HealthTech within 30 days of successful completion of the course.

Refund / Cancellation Policy:

Cancellations received in writing prior to the start of the course will be refunded, less $50.00 administrative expense. Registration fees may be transferred to another individual prior to the start of the educational offering.  Individuals who enroll in an online educational course and who open any module content will not be eligible for refunds.


Carolyn St. Charles, MBA, BSN, RN

HealthTech, Chief Clinical Officer

Carolyn St. Charles has more than 30 years’ experience in healthcare, including more than 15 years in senior leadership positions.  St. Charles works collaboratively with senior leaders, providers and clinical staff to develop and implement sustainable strategies for improving both financial and clinical outcomes.  She provides education and consulting for Swing Bed programs thru-out the United States.

St. Charles earned an Associate Degree in Nursing from Pima Community College in Tucson, Arizona, a Bachelor of Science in Nursing from Northern Arizona University and a Master of Business Administration from the University of Washington Foster School of Business. She is a member of the American Organization of Nurse Executives, Case Management Society of America and Phi Kappa Phi.

Cheri Benander, RN MSN, CHC, C-NHCE

HealthTech Clinical & Compliance Consultant

Cheri has over 30 years’ experience in various healthcare roles to include clinical, management, administration, compliance, consulting, and education. Her leadership experience has extended to multiple healthcare settings to include acute care, home health, hospice, assisted living and long-term care. As a consultant, Ms. Benander has worked collaboratively with leaders and clinical staff to improve productivity, time management, and leadership skills, formulate survey responses, and implement various programs including compliance.

She received her undergraduate nursing education from Fort Scott Community College and her bachelor’s and master’s degrees in nursing from the University of Phoenix. She is a Certified Healthcare Compliance (CHC) professional through the Health Care Compliance Association (HCCA) and received a graduate certification in Nursing and Healthcare Education from the University of Phoenix. Benander is a registered nurse and a member of the American Nurses Association (ANA) , the American Organization of Nursing Leadership (AONL), and the Health Care Compliance Association (HCCA).


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