Coordinated Care Program Model for Chronic Disease Management Patients to Address Complex Needs and Reduce Hospital Visits

This 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.

Continuing Education Instructions and Disclosure Information:

Contact hours available until 4/6/2026.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online nursing continuing professional development (NCPD) evaluation. You will be able to print your NCPD certificate at any time after you complete the evaluation.

Disclosure of relevant financial relationships with ineligible companies (planners, faculty/speakers, reviewers):

Planning Committee Disclosures:
There are no Planning Committee disclosures to declare.

Speaker Disclosures:
Chrystal Lewis serves as a presenter for Practicing Clinicians Exchange

Commercial Support:
No commercial support declared.

Accreditation Statement:
This educational activity is jointly provided by Anthony J. Jannetti, Inc. (AJJ) and the American Academy of Ambulatory Care Nursing (AAACN).

Anthony J. Jannetti, Inc. is accredited as a provider of nursing continuing professional development 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.

Learning Outcome:
After completing this learning activity, the participant will be able to identify the positive impacts that a complex chronic disease care management program can have on patient care by utilizing an interdisciplinary team approach and leveraging the expertise of team members.