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Care Coordination Transition Management

- Identification301DateMay 23, 2025Credits1.5 CH | Available until May 24, 2027A team of expert panelists discuss the integration of "exposure-informed care" (EIC) into healthcare systems which is crucial to addressing the health risks posed by environmental toxins…
Speakers
Stephen Hunt, MD, MPHDirector of the Environmental Contaminants Clinic, Veterans Health AdministrationBeckie Kronebusch, MS, APRN, AGCNS-BCAdvanced Practice Registered Nurse, Mayo ClinicAndrea Kossoudji, MS, MBA, RN, AMB-BCNurse Educator, Veterans Health AdministrationKirsten Mains, MA, CCC/SLPHealth System Specialist and Project Manager, Office of Primary Care, Veterans Health AdministrationCynthia L. Murray, BN, AMB-BCRN Consultant Legislative Action Team Office of Primary Care VA Central Office, Veterans Health AdministrationJessica Varghese, PhD, RNAssistant Professor, Nursing, New York Institute of Technology$33Standard Price - Identification244DateMay 22, 2025Credits1 CH | Available until May 24, 2027Nurses play a critical role in ambulatory care, often serving as the primary point of contact for veterans in a variety of settings…
Speaker
Andrea Kossoudji, MS, MBA, RN, AMB-BCNurse Educator, Veterans Health Administration$33Standard Price - Identification243DateMay 22, 2025Credits1 CH | Available until May 24, 2027Ambulatory care registered nurses in orthopedics working with a joint centers of excellence program had a desire to become more autonomous in their role and to practice to the full scope of their RN licensure…
Speakers
Brenda Bos, MS, RNRegistered Nurse, Mayo ClinicKelsie Nelson, MBA/HCM, RNAmbulatory Nurse Manager, Department of Orthopedics, Mayo ClinicSpecialtiesGeneralTracks$33Standard Price - Identification236DateMay 22, 2025Credits1 CH | Available until May 24, 2027This panel presentation shares their approaches to value-based care through navigation, care management and population health…
Speakers
Hallie Bleau, MBA, ACNP-BCVice President, Care Management, Northwell HealthJennifer Edwards, BSN, RN, OCN, LSSGBRN Clinical Services Director, Banner University Medical GroupKatharine Green, MSN, RNDirector, Clinical Quality and Data Management, Dartmouth-Hitchcock, Putnam Medical Group, Southwestern Vermont Health CareSpecialtiesGeneralTracks$33Standard Price - Identification232DateMay 22, 2025Credits1 CH | Available until May 24, 2027Medication refills in ambulatory care clinics are time-consuming and repetitive, often leading to inefficiencies and subsequent patient safety issues when procedures are not standardized…
Speaker
Jordan Serwe, BSN, RNRegistered Nurse, Advocate Health$33Standard Price - Identification231DateMay 22, 2025Credits1 CH | Available until May 24, 2027In these short rapid-fire presentations, multiple speakers highlight approaches to managing issues related to medical assistants in the practice environment…
Speakers
Kimberly Alleman, MBA-HM, BSN, RN, AMB-BC, CLSS-BBChief Nursing Officer, Clinical Practice, UTHealth HoustonSibil J. Blee, DNP, RN, AMB-BC, NPD-BCClinical Educator, UT Health Houston - UT PhysiciansAshley Campbell, MSN, RN, NEA-BCNurse Manager, Trauma, Burn, Colorectal, and General Surgery Clinics, Vanderbilt University Medical CenterMichael Hanneman, MSClinical Research Associate, Vanderbilt University Medical CenterPatricia Nannenga, MSN, RN, CNML, CPHQDirector of Medical Assistant Education, Indiana University HealthSpecialtiesGeneralTracks$33Standard Price - Identification213DateMay 22, 2025Credits1 CH | Available until May 24, 2027Effective and consistent transitions of care are crucial to preventing unnecessary admissions and readmissions to the hospital…
Speaker
Barry Boyce, MSN, ACM, RNSenior Director of Ambulatory and Community Care Management, Intermountain Health$33Standard Price - Identification144DateMay 21, 2025Credits1 CH | Available until May 24, 2027In this presentation, we aim to share the collective efforts of the Nurse-Sensitive Indicator (NSI) and Care Coordination and Transition Management (CCTM) Special Interest Groups (SIGs) to highlight the AAACN resources to provide actionable steps to address the gaps in defining and measuring the RN…
Speakers
Billie L. Allard, MS, RN, FAAN, FAONLPopulation Health/Value-Based Care ConsultantDeborah Cantlin, MSN, AMB-BC, RN, CHFNNurse Educator, Dartmouth Hitchcock Medical CenterFaith Jones, MSN, RN, NEA-BCCare Coordination and Lean Consultant, HealthTech$33Standard Price - Identification143DateMay 21, 2025Credits1 CH | Available until May 24, 2027This session explores a multidisciplinary process to extend sexual assault nurse examiner services to strategic ambulatory care locations to bring services to this patient population…
Speakers
Becky Gray, MBA, BSN, RN, NEA-BCDirector Ambulatory Clinical Operations, Saint Luke’s Physician GroupJennifer Sonsiadek, MSN-FN, BSN, BA, RN, SANE-AClinical Forensic Program Manager, Saint Luke's Health System$33Standard Price - Identification253DateApril 4, 2024Credits1 CH | Available until April 6, 2026Aiming to improve the transition of patients from hospital to home, a team at one healthcare organization completed a performance improvement project leveraging the registered nurse to lead the transition of care phone call and visit in collaboration with the primary care physician…
Speakers
SpecialtiesGeneralTracks$38Standard Price - Identification243DateApril 4, 2024Credits1 CH | Available until April 6, 2026This session outlines the development of an innovative residency program to increase expanded nursing roles by providing structured training using an established ambulatory care curriculum, expert mentorship, and co-design with practice administration…$38Standard Price
- Identification232DateApril 4, 2024Credits0.75 CH | Available until April 6, 2026This session discusses the development of a care coordination pilot program to address complex needs of pediatric gastroenterology patients, with the goals of preventing overuse of the emergency room and inpatient admissions while increasing compliance with plans of care…
Speaker
Jaya Yohannan, MSN, RNDirector of Care Coordination, Children's Health$38Standard Price - Identification231DateApril 4, 2024Credits1 CH | Available until April 6, 2026This session addresses the effectiveness of shared medical appointments as a tool for educating patients on lifestyle changes that positively impact metabolic syndrome…
Speakers
$38Standard Price - Identification214DateApril 4, 2024Credits1.25 CH | Available until April 6, 2026This session addresses the development of a full-time program to provide continuity and dedicated education for all patient-aligned care team (PACT) members in outpatient clinics…
Speakers
$38Standard Price - Identification144DateApril 3, 2024CCTM is growing nationwide, and a set of principles and evidence-based resources are constantly being created and updated to support ambulatory care nursing. The CCTM SIG meets to discuss the latest evidence-based tools and research…SpecialtiesTracksFreeStandard Price
- Identification142DateApril 3, 2024Credits1 CH | Available until April 6, 2026In these short rapid-fire presentations, multiple speakers highlight approaches to managing issues related to telehealth in the practice environment…
Speakers
Emily Chapman, Master of Advanced NursingMichelle Medina-Smuck, MSN, RN, NPD-BCKim Trost, BSN, RN, NE-BCSpecialtiesGeneralTracks$38Standard Price - Identification133DateApril 3, 2024Credits1 CH | Available until April 6, 2026This session discusses the development of a chronic disease care management program at our academic medical center to address the needs of complex moderate- to high-risk patients and reduce repeat emergency department utilization and hospital readmissions for these specified populations…
Speakers
$38Standard Price - Identification131DateApril 3, 2024Credits1 CH | Available until April 6, 2026Sudden cardiac death is the leading medical cause of death in young athletes. Sports physical exams are used to establish the safety of athletes’ sports participation. Pediatric mobile clinics have been found to increase access to care in communities that are underserved…
Speakers
Lily Hopkins, BSN, RNGloria Okorley, MSN, RN, AMB-BCAmbulatory Care Nurse Manager, University of Kentucky HealthcareSpecialtiesGeneralTracks$38Standard Price - Identification122DateApril 3, 2024Credits0.75 CH | Available until April 6, 2026Patients transitioning from an inpatient hospital stay to self-care responsibilities post-discharge are at risk for readmission, resulting in increased cost and resource utilization. Care transition programs can result in cost avoidance and decreased resource utilization…
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Jessica Sass, DNP, APRN, FNP-C$38Standard Price - IdentificationP084DateMarch 5, 2024Purpose: The purpose of this presentation is to discuss the implementation and impact of nurse-led visits in ambulatory specialty care settings at an academic medical center…
Speakers
SpecialtiesGeneral - Identification243DateApril 13, 2023Credits1.25 CH | Expired April 15, 2025This presentation discusses the implementation strategy for centralizing nursing services to support primary care practices as well as the tools and tactics for tracking RN work and value-based program outcomes as a result of centralization…
Speakers
Britt Gnilka, DNPDirector of Clinical Operations Complex Care Solutions, Sentara Medical GroupCamilla Washington, MSN, RNDirector, Ambulatory Patient Care Services, Sentara Medical Group$38Standard Price - Identification213DateApril 13, 2023Credits0.75 CH | Expired April 15, 2025Ambulatory care is a rapidly growing field of nursing practice. As this specialty practice grows, there have been efforts to identify the desired role of the registered nurse in ambulatory care and link it to patient outcomes…
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Molly Moran, MSN, RN, CCRNSenior Director, Ambulatory Clinical Practice and Workforce Development , Rush University Medical Center$38Standard Price - Identification133DateApril 12, 2023Credits0.75 CH | Expired April 15, 2025Having a warfarin protocol in place is only half the battle. It is imperative that protocol be followed and documented with each encounter. This presentation discusses how to closely monitor labs and provide care for the non-compliant patient…
Speakers
Alice Brown, RNNurse Supervisor, Salina Family Healthcare CenterDenise Cart, RNCharge Nurse, Salina Family Healthcare$38Standard Price - Identification122DateApril 12, 2023Credits1 CH | Expired April 15, 2025Seeking the right level of care at the right time can help prevent delay in care and unnecessary cost. Different modes to seek care have been developed to meet the complex needs of patients, but patients may not be able to track the resources available to them…
Speakers
Victoria Zhu, DNP, RNRegional Operations Director for Complex Care , The Everett ClinicAdrienne Huard, RNRN Clinical Support Manager, The Everett ClinicSpecialtiesGeneralTracks$38Standard Price