Module 10: Care Coordination and Transition Management: Population Health Management

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
• Barbara Trehearne, PhD, RN
• Sheila Johnson, RN, MBA

Tags: care coordination competency population health cctm transition management stratification interdisciplinary care team chronic care model patient engagement population identification

Utilizing Antihypertensive Medication Titration Standardized Procedures to Increase Blood Pressure Control in Patients with Uncontrolled Hypertension

Apr 22, 2022

Collection: AAACN 45th Annual Conference 2022 Posters

Type: Session

Speakers:

• Jenelle M. Zambrano, DNP, CNS, RN, CCNS

Tags: population health hypertension standardized procedures medication titration

Improving the Bottom Line: Seeing BSN-RNs in Primary Care as Value, not Just Cost

Collection: AAACN 44th Annual Conference 2019 Posters

Type: Session

Speakers:

• Kae R. Livsey, PhD, MPH, RN

Tags: population health care management uds nurse sensitive outcomes value-based reimbursement

Planning for a Healthier Future: A Technology-Driven Approach to Population Health Management in a Safety Net Primary Care Practice

May 8, 2019

Collection: AAACN 44th Annual Conference 2019

Type: Session

Speakers:

• Tiffany Basamon, MS, RN, Nurse Manager, University of Rochester Medical Center
• Christine Monahan, BSN, RN, DC

Tags: team-based care population health health promotion preventive care disease prevention anticipatory care information technology tools addressing care gaps

Care Management Teams: An Approach to Care Delivery

May 11, 2018

Collection: AAACN 43rd Annual Conference 2018

Type: Session

Speakers:

• Paige C. Kearns, MSN, RN, CMSRN
• Shanee M. Courtney, MSN, RN

Tags: case management interdisciplinary population health rn scope of practice diabetes case management

Evolution of Targeted Patient Population Care Management Strategy to Improve Patient Outcomes and Healthcare Resource Utilization

May 11, 2018

Collection: AAACN 43rd Annual Conference 2018

Type: Session

Speakers:

• Mary Margaret Morin, MSN, RN, NEA-BC

Tags: population health care management ambulatory care rn medical group care gaps ambulatory care patient outcomes patient management resource utilization

Town Hall - The Role of the RN in Non-Face-to-Face Nursing Practice: Meeting Health Needs and Improving Outcomes

May 11, 2018

Collection: AAACN 43rd Annual Conference 2018

Type: Session

Speakers:

• Traci Haynes, MSN, RN, CEN, CCCTM

Tags: care coordination population health town hall remote patient monitoring interactive long-term care planning

Building and Supporting an RN Care Coordinator Program in Primary Care

May 9, 2018

Collection: AAACN 43rd Annual Conference 2018

Type: Session

Speakers:

• Kristine A. Kelm, MSN, RN, Vice President of Integrated Care Management, Advocate Aurora Health
• Beth A. Beck, BSN, RN, CMSRN
• Jennifer Bousman, BSN, RN

Tags: population health rn care coordinator

Implementing Care Coordination and Transition Management (CCTM): Tools, Tips, and Best Practices

May 20, 2016

Collection: AAACN 41st Annual Conference 2016

Type: Session

Speakers:

• Traci Haynes, MSN, RN, CEN, CCCTM

Tags: population health cctm barriers best practices

The Evolution of an Ambulatory Care Management Model: PCMH & Targeted Patient Population Management

May 18, 2016

Collection: Topic Focused CNE Packages

Type: Session

Speakers:

• Mary Margaret Morin, MSN, RN, NEA-BC

Tags: population management pcmh care management model care management strategies chronic disease management population health scorecard