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

Jun 29, 2022

Collection: Care Coordination and Transition Management

Type: Session

Speakers:

• 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

Using a Collaborative Approach to Build the Care Coordination and Transition Management (CCTM) Toolkit

May 9, 2018

Collection: AAACN 43rd Annual Conference 2018

Type: Session

Speakers:

• Rachelle White, MSN, RN, CCCTM
• Misty Landor, MBA, MSN, RN, CNS, ANP-C, CCCTM
• Helen Vigh, BSN, RN, CCCTM

Tags: communication care coordination education transition management patient-centered care planning informatics cctm core curriculum dimensions straw model structure tools process tools outcome tools toolkit navigator population health management