Credits: None available.
NOTE: Slides for this session are contained at the back of the PDF handout which is available after module is purchased.
Population health management goes beyond traditional disease management and incorporates both preventive, wellness, and chronic care needs. The goal of population health management is to keep a patient population as healthy as possible. The RN in the CCTM Role uses population health management to organize systems of care for populations; and to identify and implement evidence-based interventions and measure outcomes for both the individual and the population. Patient data including utilization data, medical record data, and evidence based measures are used to stratify the population and aid the RN in identifying patients for outreach. Interventions include closing gaps in evidence based measures and surrounding the patient with support to be successful in self-managing their health. A discussion of evolving health care policy development and its impact on regulatory and payer expectations and the provision of care to define populations will be discussed as will the knowledge, skills, and attitudes necessary for the RN in the CCTM role.
The purpose of this activity is to enable the learner to integrate the principles and key elements of population health management into the RN Care Coordination and Transition Management (RN-CCTM) role.
Linke, S. E., Larsen, B. A., Marquez, B., Mendoza-Vasconez, A., &
Marcus, B. H. (2016). Adapting Technological Interventions to Meet
the Needs of Priority Populations. Progress in Cardiovascular
Diseases, 58(6), 630-638.
Sheff, A., Park, E. R., Neagle, M., & Oreskovic, N. M. (2017). The
patient perspective: utilizing focus groups to inform care
coordination for high-risk medicaid populations. BMC Research
Notes, 10(1), 315. doi:10.1186/s13104-017-2638-1
Contact hours available until 3/31/2020.
After completing this learning activity, the learner will be able to integrate the principles and key elements of population health management into the RN Care Coordination and Transition Management (RN-CCTM) role.
Requirements for Successful Completion:
Faculty, Planners and Authors Conflict of Interest Disclosure:
Speaker(s) have no disclosures to declare.
Commercial Support and Sponsorship:
No commercial support or sponsorship declared.
This educational activity has been co-provided by Anthony J. Jannetti, Inc. and AAACN.
Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
AAACN is a provider approved by the California Board of Registered Nursing, provider number CEP 5366.
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