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



Sessions

Module 1: Care Coordination and Transition Management: Introduction


Identification: CCTM01

Credits: None available.

Speaker(s):

Module 2: Care Coordination and Transition Management: Advocacy


Identification: CCTM02

Credits: None available.

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


Identification: CCTM03

Credits: None available.

Speaker(s):

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


Identification: CCTM04

Credits: None available.

Speaker(s):

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


Identification: CCTM05

Credits: None available.

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


Identification: CCTM06

Credits: None available.

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


Identification: CCTM07

Credits: None available.

Speaker(s):

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


Identification: CCTM08

Credits: None available.

Speaker(s):

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


Identification: CCTM09

Credits: None available.

Speaker(s):

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


Identification: CCTM10

Credits: None available.

Speaker(s):
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