Care Coordination and Transition Management


This course includes contact hours.

The CCTM online course and core text will help nurses solve the puzzle of fragmented patient care. It is an evidence-based, patient centered program designed to:

  • Improve patient outcomes
  • Enhance access to quality care
  • Decrease hospital readmissions
  • Decrease health care costs
  • Help patients navigate the health care system
  • Ensure continuity and seamless transitions among levels and settings of care
  • Work effectively in Patient-Centered Medical Homes (PCMHs)and Accountable Care Organizations (ACOs)
  • Improve the individual patient’s experience of care


Please Note: The MSNCB Board of Directors is suspending acceptance of new applications for the CCCTM certification program as of August 22, 2019, at 11:59 pm Pacific Daylight Saving Time, while the future of the program is being evaluated. AAACN will share an update when this evaluation is complete and more information is available. For additional information, please see the FAQ that was prepared for CCCTM certificants and candidates. If you have additional questions, concerns, or input, please contact AAACN at aaacn@aaacn.org.

Contact hours available until 12/31/2021.

Original CCTM content was reviewed and updated in December 2018. Content was found relevant, and additional newer references have been added.

The course includes an audio presentation, slides, and a PDF version of the corresponding core text chapter. Nurses will read the chapter prior to viewing the audio presentation. The course provides 26.4 contact hours.

If you've already purchased this course, be sure to log in to access it from this page directly.

Standard: $245.00
Members: $195.00

Packages Display Packages

Standard: $245.00
Members: $195.00

Sessions

Module 1: Care Coordination and Transition Management: Introduction


Identification: CCTM01

Credits: None available.

Speaker(s):
Standard: Free

Module 2: Care Coordination and Transition Management: Advocacy


Identification: CCTM02

Credits: None available.

Speaker(s):
Standard: $50.00
Members: $40.00

Module 3: Care Coordination and Transition Management: Education and Engagement of Patients and Families


Identification: CCTM03

Credits: None available.

Speaker(s):
Standard: $50.00
Members: $40.00

Module 4: Care Coordination and Transition Management: Coaching and Counseling of Patients and Families


Identification: CCTM04

Credits: None available.

Speaker(s):
Members: $40.00
Standard: $50.00

Module 5: Care Coordination and Transition Management: Patient-Centered Care Planning


Identification: CCTM05

Credits: None available.

Speaker(s):
Standard: $50.00
Members: $40.00

Module 6: Care Coordination and Transition Management: Support for Self-Management


Identification: CCTM06

Credits: None available.

Speaker(s):
Standard: $50.00
Members: $40.00

Module 7: Care Coordination and Transition Management: Nursing Process: Proxy for Monitoring and Evaluation


Identification: CCTM07

Credits: None available.

Speaker(s):
Members: $40.00
Standard: $50.00

Module 8: Care Coordination and Transition Management: Teamwork and Collaboration


Identification: CCTM08

Credits: None available.

Speaker(s):
Standard: $50.00
Members: $40.00

Module 9: Care Coordination and Transition Management: Cross Setting Communications and Care Transitions


Identification: CCTM09

Credits: None available.

Speaker(s):
Standard: $50.00
Members: $40.00

Module 10: Care Coordination and Transition Management: Population Health Management


Identification: CCTM10

Credits: None available.

Speaker(s):
Members: $40.00
Standard: $50.00
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