Care Coordination and Transition Management (Duplicate)

The set of evaluations found here are for those who already own the course and have previously completed evaluations, and need to claim credit again.

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

Module 1: Care Coordination and Transition Management: Introduction

Preview Available

Module 1: Care Coordination and Transition Management: Introduction

Identification: CCTM01

Credits: None available.

• Dr. Sheila A. Haas, PhD, RN, FAAN, Marcella Niehoff School of Nursing at Loyola University
• Traci Haynes, MSN, RN, CEN, CCCTM
• Kathy Mertens, DNP, MPH, RN, Associate Chief Nurse for Ambulatory Care and Population Health, University of Washington Medicine
• Jamie Bland, MSN, RN
• Mary Sue Dailey, MSN, APN-CNS, Clinical Nurse Specialist/Adult Acute Medical- Surgical, Advocate Good Samaritan Hospital
• Barbara Trehearne, PhD, RN

Module 2: Care Coordination and Transition Management: Advocacy

Preview Available

Module 2: Care Coordination and Transition Management: Advocacy

Identification: CCTM02

Credits: None available.

• Vicki Grant, MS, RN
• Judith Toth-Lewis, RN, BSN, MSN, PhD
• Author Mary H. Vinson, DNP, RN-BC

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.

• Author Cheryl A. Lovlien, MS, RN-BC

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.

• Judy Dawson-Jones, BSN, RN, MPH
• Kristene K. Grayem, MSN, CNS, PPCNP-BC, RN-BC, Chief Population Health Officer, Akron Children's Hospital
• Karen Alexander, PhD, RN

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.

• Judith Toth-Lewis, RN, BSN, MSN, PhD
• Kathleen T. Sheehan, MS, BSN, RN-BC, CH-GCN
• Anne T. Jessie, DNP, RN, Senior Director for Population Health Management and Clinical Innovations, Gorman Health

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.

• Stephanie G. Witwer, PhD, RN, NEA-BC, FAAN, Nurse Administrator, Mayo Clinic
• Author Candia B. Laughlin, MS, RN-BC

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.

• Traci Haynes, MSN, RN, CEN, CCCTM

Module 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.

• Denise Hannagan, MSN, MHA, RN-BC, EDAC, Senior Healthcare Consultant, HDR, Inc.
• Kathy Mertens, DNP, MPH, RN, Associate Chief Nurse for Ambulatory Care and Population Health, University of Washington Medicine
• Mary A. Bord-Hoffman, MA, MN, RN-BC, Nurse Manager

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.

• Deborah Aylard, MSN, RN
• Stefanie Coffey, DNP, MBA, FNP-BC, RN-BC
• Janet Fuchs, MBA, MSN, RN, NEA-BC, Cleveland Clinic

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.

• Anne T. Jessie, DNP, RN, Senior Director for Population Health Management and Clinical Innovations, Gorman Health
• Barbara Trehearne, PhD, RN
• Sheila Johnson, RN, MBA