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

Virtual Shared Medical Appointments for Patients with Chronic Obstructive Pulmonary Disease to Prevent Exacerbations

Apr 22, 2022

Collection: AAACN 45th Annual Conference 2022 Posters

Type: Session

Speakers:

• Nancy Dister RIchards, DNP, MSN, BSN, RN AMB-BC, NEA-BC

Tags: telemedicine motivational interviewing shared medical appointments group medical visits virtual shared medical appointments

Health Coaching for Care Teams: Engaging Patients for Meaningful Experience and Improved Outcomes

Apr 7, 2021

Collection: AAACN 46th Annual Conference 2021

Type: Session

Speakers:

• Celeste Knoff, MAN, MBA, RN, CRRN, Nursing Administrator for Education and Operations, HealthPartners
• Mary Lichtor, MA, CMA

Tags: patient outcomes motivational interviewing patient engagement ambulatory care patient outcomes team communication work satisfaction interdisciplinary team work

Partner Up! Development of Coaching and Motivational Interviewing Skills for Care Coordinators to Enhance Communication and Patient-Centered Care

Collection: AAACN 44th Annual Conference 2019 Posters

Type: Session

Speakers:

• Mary K. Bruihler, BSN, RN
• Rebecca Engdahl, BSN, RN
• Teresa Hansen, MSN, RN-BC
• Heather Preston, MS

Tags: care coordination education motivational interviewing

Targeted Approach to Achieving the Quadruple Aim

May 10, 2019

Collection: AAACN 44th Annual Conference 2019

Type: Session

Speakers:

• Laura Tesch, MSN, FNP, RN, CCCTM
• Cynthia Kollauf, MS, RN, ACNS-BC

Tags: care coordination motivational interviewing chronic conditions social determinants of health transitional care authentic engagement quadruple aim vulnerable clients system impact advanced practice

Health Coaching for Care Teams: Engaging Patients for Meaningful Experience and Improved Outcomes

May 9, 2019

Collection: AAACN 44th Annual Conference 2019

Type: Session

Speakers:

• Celeste Knoff, MAN, MBA, RN, CRRN, Nursing Administrator for Education and Operations, HealthPartners
• Mary Lichtor, MA, CMA

Tags: patient outcomes interdisciplinary teamwork motivational interviewing patient engagement health coaching patient centered goal adherence team communication work satisfaction