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: ANCC has determined it will not refresh the CCCTM exam. The credential will continue to be available for renewal only to nurses who already hold the credential. ANCC is exploring board certification(s) that align with population health needs for the future, and AAACN has been invited to explore in collaboration with ANCC.

For more information regarding CCCTM, visit the ANCC Website.

Please contact ANCC at certification@ana.org for more information about how to renew your certification through ANCC.

Contact hours available until 7/1/2022.

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

Care Coordination and Transition Management
Includes 13 Sessions
Click here for details, pricing and to purchase

Sessions Included:

Module 1: Care Coordination and Transition Management: Introduction ()

Module 2: Care Coordination and Transition Management: Advocacy ()

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

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

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

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

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

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

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

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

Module 11: Care Coordination and Transition Management: Between Acute Care and Ambulatory Care ()

Module 12: Care Coordination and Transition Management: Informatics Nursing Practice ()

Module 13: Care Coordination and Transition Management: Telehealth Nursing Practice ()

Standard: $245.00
Members: $195.00

Sessions

Module 1: Care Coordination and Transition Management: Introduction iconModule 1: Care Coordination and Transition Management: Introduction

Preview Available

Module 1: Care Coordination and Transition Management: Introduction

Identification: CCTM01

Credits: None available.

Speaker(s):
Tags: logic model care coordination competency cctm interprofessional transition management improved outcomes dimensions
Category: Search
Standard: Free
Module 2: Care Coordination and Transition Management: Advocacy iconModule 2: Care Coordination and Transition Management: Advocacy

Preview Available

Module 2: Care Coordination and Transition Management: Advocacy

Identification: CCTM02

Credits: None available.

Speaker(s):
Tags: care coordination competency cctm collaboration transition management autonomy beneficence advocacy health teaching and promotion ethics
Category: Search
Standard: $50.00
Members: $40.00
Module 3: Care Coordination and Transition Management: Education and Engagement of Patients and Families iconModule 3: Care Coordination and Transition Management: Education and Engagement of Patients and Families

Preview Available

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

Identification: CCTM03

Credits: None available.

Speaker(s):
Tags: care coordination competency cctm education transition management engagement of patients and families readiness to learn assessing knowledge collaboration and teamwork method of teaching
Category: Search
Standard: $50.00
Members: $40.00
Module 4: Care Coordination and Transition Management: Coaching and Counseling of Patients and Families iconModule 4: Care Coordination and Transition Management: Coaching and Counseling of Patients and Families

Preview Available

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

Identification: CCTM04

Credits: None available.

Speaker(s):
Tags: care coordination competency cctm transition management coaching counseling relationship empower patients care team communication 5 a's behavior change model
Category: Search
Members: $40.00
Standard: $50.00
Module 5: Care Coordination and Transition Management: Patient-Centered Care Planning iconModule 5: Care Coordination and Transition Management: Patient-Centered Care Planning

Preview Available

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

Identification: CCTM05

Credits: None available.

Speaker(s):
Tags: assessment care coordination competency cctm transition management patient-centered care planning motivational interviewing plan of care interventions risk identification
Category: Search
Standard: $50.00
Members: $40.00
Module 6: Care Coordination and Transition Management: Support for Self-Management iconModule 6: Care Coordination and Transition Management: Support for Self-Management

Preview Available

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

Identification: CCTM06

Credits: None available.

Speaker(s):
Tags: self-management care coordination competency cctm transition management chronic conditions cognitive assessment barriers to self-management self care
Category: Search
Standard: $50.00
Members: $40.00
Module 7: Care Coordination and Transition Management: Nursing Process: Proxy for Monitoring and Evaluation iconModule 7: Care Coordination and Transition Management: Nursing Process: Proxy for Monitoring and Evaluation

Preview Available

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

Identification: CCTM07

Credits: None available.

Speaker(s):
Tags: care coordination competency nursing process cctm transition management monitoring evaluation critical thinking outcomes orlando's theory
Category: Search
Members: $40.00
Standard: $50.00
Module 8: Care Coordination and Transition Management: Teamwork and Collaboration iconModule 8: Care Coordination and Transition Management: Teamwork and Collaboration

Preview Available

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

Identification: CCTM08

Credits: None available.

Speaker(s):
Tags: care coordination competency standards cctm collaboration teamwork transition management professional practice team-based health care team leader
Category: Search
Standard: $50.00
Members: $40.00
Module 9: Care Coordination and Transition Management: Cross Setting Communications and Care Transitions iconModule 9: Care Coordination and Transition Management: Cross Setting Communications and Care Transitions

Preview Available

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

Identification: CCTM09

Credits: None available.

Speaker(s):
Tags: communication care coordination competency cctm transition management care transitions fudge model guided care grace
Category: Search
Standard: $50.00
Members: $40.00
Module 10: Care Coordination and Transition Management: Population Health Management iconModule 10: Care Coordination and Transition Management: Population Health Management

Preview Available

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

Identification: CCTM10

Credits: None available.

Speaker(s):
Tags: care coordination competency population health cctm transition management stratification interdisciplinary care team chronic care model patient engagement population identification
Category: Search
Members: $40.00
Standard: $50.00