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care coordination and transition management
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Showing results 1 - 20 of 47
- 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 - 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 - 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 - Identification211DateApril 4, 2024Credits1.25 CH | Available until April 6, 2026In these short rapid-fire presentations, multiple speakers highlight approaches to managing issues related to social determinants of health in the practice environment…
Speakers
Barry Owen, MBA, BSN, RN, NEA-BCMonica Fuller, BSN, RN, CPNJessica Newland, MBA, MSN, RN, CPEN, SANE-PCheryl Davis, MBA, BSN, RN, HCMAdam Updegraff, DNP, CRNPSenior Clinical Director, WellSpanMissi Dehoff, LPN$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 - 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…
Speaker
Jessica Sass, DNP, APRN, FNP-C$38Standard Price - 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…
Speaker
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 - Identification132DateApril 12, 2023Credits1 CH | Expired April 15, 2025In these short rapid-fire presentations, multiple speakers highlight approaches to managing issues related to behavioral health in the practice environment…
Speakers
Sherrie Cisneros, MSN, RN-BCProject Coordinator, Pomona Valley Hospital Medical CenterJennifer Curlowicz, MSN, RNProject Coordinator and Behavioral Health Navigator, Pomona Valley Hospital Medical CenterJean M. Bernhardt, PhD, CNPAdministrative Director and Nurse Practitioner, Massachusetts General HospitalJody Leise, MS, APRN, CNS, CWCNClinical Nurse Specialist, Mayo Clinic Health SystemLisa Ruehmann, BSN, RNNurse Manager, Mayo ClinicSpecialtiesGeneralTracks$38Standard Price - Identification112DateApril 12, 2023Credits1 CH | Expired April 15, 2025In these short rapid-fire presentations, multiple speakers highlight approaches to managing issues related to telehealth in the practice environment…
Speakers
Mari Ann Lewis, BSN, RN, AMB-BC, NPD-BCManager Clinical Education and Professional Development, Ambulatory Operations, UT Southwestern Medical CenterCalli Wood, MSN Ed, RN, NPD-BCDirector of Ambulatory Nursing Education and Training, UT Southwestern Medical CenterKathleen Craig, MSN, RNProgram Manager, Video Blood Pressure Program, Veterans AdministrationSpecialtiesGeneralTracks$38Standard Price - Identification111DateApril 12, 2023Credits1 CH | Expired April 15, 2025In a value-based care environment, successful outcome measures include improved quality of care while limiting costs. This session discusses a transitional care program implemented to support post-discharge follow-up…
Speakers
Dianne M. Cirillo, MS, RN-BCManager of Ambulatory Care Coordination, Tampa General HospitalTiffany Hoffman, MS, APRN, ANP-CTransitional Care APRN, Tampa General HospitalGeneralTracks$38Standard Price - Identification113DateMay 18, 2022Credits1 CH | Expired May 21, 2024This session discusses the interventions leading to the successful implementation of RN-led visits for chronic disease management in the primary care setting…
Speakers
Darla Niehaus, RN, AMB-BCRegistered Nurse, Memorial Hospital and Health Care CenterKate Willegal Russ, DNP, RN, NPD-BCNurse Clinician, Memorial Hospital and Health Care Center$30Standard Price - Identification312DateApril 15, 2021Virtual attendees will be able to interact and engage with one another during this networking time by participating in real-time attendee chats…
Speakers
Prentice R. Price, NEA-BC, RN, FACHEChief Nursing Officer and Deputy Commander for Inpatient Services, Tripler Army Medical CenterChristine Shepherd Harris, DNP, RN, NE-BCRegistered Nurse, United States Army$30Standard Price - Identification302DateApril 15, 2021Credits1 CH | Expired April 15, 2023CCTM is growing nationwide, and principles and evidence-based resources are constantly being created and updated to support ambulatory care nursing. During this session the CCTM SIG meets to discuss the latest evidence-based tools and research…
Speaker
Diane Davis, DNP, MHA, RNMedical Home Navigation Director, Concord Hospital$30Standard Price - Identification232DateApril 13, 2021Credits0.75 CH | Expired April 15, 2023Transitional care management (TCM) refers to interventions promoting the safe and timely transfer of patients through various levels of care and across care settings. This session describes several interventions to improve transitional patient care management in the ambulatory care setting…
Speakers
Sarah Bruns, MSN, RN, AMB-BCVanessa Taylor, BSN, RNMedical Home Manager, Sanford ClinicAmanda Jungman, BAN, AMB-BCQuality Improvement Advisor, Sanford Health$30Standard Price - Identification212DateApril 13, 2021Credits0.75 CH | Expired April 15, 2023This session discusses how one health care practice developed a registered nurse to serve as a clinical liaison (RNCL) in the hospital to help enrollment in care management programs…
Speakers
Mollie Jo Flynn, BSN, RNCase Manager, Mayo ClinicLaura Sikkink, MSN, RNNurse Manager, Mayo Clinic$30Standard Price - Identification211DateApril 13, 2021Credits0.75 CH | Expired April 15, 2023This session explores the value-added role of enhanced primary care RNs in rural health clinics and the impact they have on quality, access, and revenue…
Speakers
Tina C. Switzer, DNP, RN, CNLPartnership Liaison, James Madison UniversityTheresa Gillenwater, BSN, RNUPCARE RN Preceptor, James Madison UniversityErika Metzler Sawin, PhD, RN, FNP-BCAssociate Professor, James Madison UniversityAnne-Callie Skillman, BSN, RNRegistered Nurse Preceptor, James Madison University$30Standard Price - Identification213DateApril 13, 2021Credits0.75 CH | Expired April 15, 2023In these short rapid-fire presentations, multiple speakers highlight approaches to managing issues related to telehealth nursing in the practice environment…
Speakers
Denise Moultrie, EdD, MSN, RN, NE-BC, CNOR, CCNSVice President, Clinical Operations, Population Health Collaborative, Emory HealthcareKarla Schroeder, DNP, RN, MHA, ANP-BC, NE-BCAssociate Chief Nursing Officer, Emory HealthcareJim Woodard, DNP, MBA, RNChief Operating Officer, TRU Community CareCarolyn Mitchell, BSN, RN, PHN, CCMClinical Advisor Registered Nurse, UCLA Health$30Standard Price