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 7/1/2024.
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.
Packages Display Packages
Sessions Included:
Module 1: Care Coordination and Transition Management: Introduction (Jul 11, 2022 12:00 PM)
Module 2: Care Coordination and Transition Management: Advocacy ()
Module 3: Care Coordination and Transition Management: Education and Engagement of Patients and Families (Jun 29, 2022 12:00 PM)
Module 4: Care Coordination and Transition Management: Coaching and Counseling of Patients and Families (Jun 29, 2022 12:00 PM)
Module 5: Care Coordination and Transition Management: Patient-Centered Care Planning (Jun 29, 2022 12:00 PM)
Module 6: Care Coordination and Transition Management: Support for Self-Management (Jun 29, 2022 12:00 PM)
Module 7: Care Coordination and Transition Management: Nursing Process: Proxy for Monitoring and Evaluation (Jun 29, 2022 12:00 PM)
Module 8: Care Coordination and Transition Management: Teamwork and Collaboration (Jun 29, 2022 12:00 PM)
Module 9: Care Coordination and Transition Management: Cross Setting Communications and Care Transitions (Jun 29, 2022 12:00 PM)
Module 10: Care Coordination and Transition Management: Population Health Management (Jun 29, 2022 12:00 PM)
Module 11: Care Coordination and Transition Management: Between Acute Care and Ambulatory Care (Jun 29, 2022 12:00 PM)
Module 12: Care Coordination and Transition Management: Informatics Nursing Practice (Jun 29, 2022 12:00 PM)
Module 13: Care Coordination and Transition Management: Telehealth Nursing Practice (Jun 29, 2022 12:00 PM)
Sessions
Module 2: Care Coordination and Transition Management: Advocacy
Preview Available
Module 2: Care Coordination and Transition Management: Advocacy
Identification: CCTM02
Credits: None available.
Speaker(s):- Vicki Grant, MS, RN
- Author Mary H. Vinson, DNP, RN-BC
- Judith Toth-Lewis, RN, BSN, MSN, PhD
Tags:
care coordination competency cctm collaboration transition management autonomy beneficence advocacy health teaching and promotion ethics
Module 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):- Author Cheryl A. Lovlien, MS, RN-BC
Tags:
care coordination competency cctm education transition management engagement of patients and families readiness to learn assessing knowledge collaboration and teamwork method of teaching
Module 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):- Judy Dawson-Jones, BSN, RN, MPH
- Kristene K. Grayem, MSN, APRN, AMB-BC, Chief Population Health Officer, Akron Children's Hospital
- Karen Alexander, PhD, RN
Tags:
care coordination competency cctm transition management coaching counseling relationship empower patients care team communication 5 a's behavior change model
Module 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):- Anne T. Jessie, DNP, RN, Senior Director for Population Health Management and Clinical Innovations, Gorman Health
- Kathleen T. Sheehan, MS, BSN, RN-BC, CH-GCN
- Judith Toth-Lewis, RN, BSN, MSN, PhD
Tags:
assessment care coordination competency cctm transition management patient-centered care planning motivational interviewing plan of care interventions risk identification
Module 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):- Author Candia B. Laughlin, MS, RN-BC
- Stephanie G. Witwer, PhD, RN, NEA-BC, FAAN, Nurse Administrator, Mayo Clinic
Tags:
self-management care coordination competency cctm transition management chronic conditions cognitive assessment barriers to self-management self care
Module 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):- Traci Haynes, MSN, RN, CEN, CCCTM
Tags:
care coordination competency nursing process cctm transition management monitoring evaluation critical thinking outcomes orlando's theory
Module 8: Care Coordination and Transition Management: Teamwork and Collaboration
Identification: CCTM08
Credits: None available.
Speaker(s):- Mary A. Bord-Hoffman, MA, MN, RN-BC, Nurse Manager
- Denise Hannagan, MSN, MHA, RN-BC, EDAC, Senior Healthcare Consultant, HDR, Inc.
- Kathy Mertens, DNP, MN, MPH, RN, Associate Chief Nurse for Ambulatory Care and Population Health, University of Washington Medicine
Tags:
care coordination competency standards cctm collaboration teamwork transition management professional practice team-based health care team leader
Module 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):- Stefanie Coffey, DNP, MBA, FNP-BC, RN-BC
- Janet Fuchs, MBA, MSN, RN, NEA-BC, Cleveland Clinic
- Deborah Aylard, MSN, RN
Tags:
communication care coordination competency cctm transition management care transitions fudge model guided care grace
Module 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):- Anne T. Jessie, DNP, RN, Senior Director for Population Health Management and Clinical Innovations, Gorman Health
- Barbara Trehearne, PhD, RN
- Sheila Johnson, RN, MBA
Tags:
care coordination competency population health cctm transition management stratification interdisciplinary care team chronic care model patient engagement population identification
Module 11: Care Coordination and Transition Management: Between Acute Care and Ambulatory Care
Preview Available
Module 11: Care Coordination and Transition Management: Between Acute Care and Ambulatory Care
Identification: CCTM11
Credits: None available.
Speaker(s):- Mary Sue Dailey, MSN, APN-CNS, Clinical Nurse Specialist/Adult Acute Medical- Surgical, Advocate Good Samaritan Hospital
- Janine Allbritton, MSN, RN