Care Coordination And Transition Management Core Curriculum

The Care Coordination and Transition Management (CCTM) Core Curriculum (2nd Edition) offers content developed by experts that will provide RNs with the knowledge, skills, and attitudes to practice in all health care settings today and tomorrow. The CCTM Core Curriculum will help RNs to: practice at the top of their license and become certified in CCTM; enhance interprofessional collaboration and communication; enhance safety and quality of patient outcomes; consistently provide best evidence-based assessments and interventions; gain expertise in population health management; tap into nurse-sensitive outcome metrics; enhance RN informatics knowledge and skills; use big data effectively to manage populations; enhance access to high-quality care; decrease ED use and readmission; decrease health care costs; and expand knowledge of resources and apps used in CCTM.

The leadership of RNs is critical to solving the puzzle of fragmented patient care. The Care Coordination and Transition Management Core Curriculum is an evidence-based, patient-centered program that covers the dimensions, competencies, and activities of care coordination and transition management. It is designed to help you: Improve patient outcomes; Enhance access to quality care; Decrease hospital re-admissions; Decrease health care costs; Help patients navigate the health care system; Ensure continuity and seamless transitions among levels and settings of care; Work effectively in Patient-Centered Medical Homes and Accountable Care Organizations; Improve the individual patient's experience of care

This document is an evolution of the American Academy of Ambulatory Care Nursing'sbody of work related Care Coordination and Transition Management (CCTM) and a major step forward for nurses in CCTM roles. It is the first statement of the scope andstandards of practice for RNs engaged in CCTM. This document may be used as a tool to advance professional CCTM nursing practice, patientand population health, andthe performance outcomes of health care institutions.

The Core Curriculum for Ambulatory Care Nursing (3rd Edition) has been organized and expanded to address the educational needs of nurses new to the specialty and those with experience, as well as to provide a review for those who seek specialty certification as an ambulatory care nurse.

The fully updated CMSA Core Curriculum for Case Management, 3rd edition, is the definitive roadmap to an informed, effective, collaborative case management practice. This comprehensive, expertly-written guide provides those directly or indirectly involved in case management with information about best practices, descriptions of key terms, essential skills, and tools that fulfill the current Case Management Society of America’s (CMSA) standards and requirements. Addressing the full spectrum of healthcare professional roles and environments, this is both a crucial certification study guide and vital clinical resource for the case management professionals in all specialty areas, from students to veteran case managers. This unique resource provides the core knowledge needed for safe, cost-effective case management with the following features ... NEW text boxes highlighting key information and vital practices in each chapter NEW and updated Standards of Practice implications in each chapter NEW and updated content on transitions of care, community-based care, care coordination, Value-Based Purchasing, ethics and social media, the impacts of health care reform, and digital technology NEW and updated content on accreditation in case management NEW chapter that lists key additional resources, by topic Official publication of the Case Management Society of America, connecting CMSA core curriculum to current CMSA Standards of Practice Easy-to-grasp, detailed topical outline format for quick scan of topics Complete, updated core knowledge required of case managers, with expert descriptions and direction on areas including: Case management roles, functions, tools, and processes Plans, clinical pathways, and use of technology Transitional planning Utilization management and resource management Leadership skills and concepts Quality and outcomes management; legal and ethical issues Education, training, and certification Health care insurance, benefits, and reimbursement systems Practice settings and throughput Interdisciplinary teams’ needs in: hospitals, community clinics, private practice, acute care, home care, long-term care and rehab settings, palliative care, and hospice settings Up-to-date guidance on case management specialty practices, including: nursing, life care planning, workers’ compensation, disability management, care of the elderly, behavioral health, transitions of care, subacute and long-term care, utilization review/management, primary care and medical/health home, and more Essential content for academic reference, training, certification study, case management models design, performance or program evaluation

Nurses are professionally accountable to improve the health of patients and populations alike. Sustaining behavioral change is impossible unless structural change enables it. A common professional framework is needed in all practice settings to formalize the voice of nurse’s ownership and accountability for practice decision-making related to clinical problems and solutions, forming practice policy, and pursuing solutions affecting health outcomes and advancing the quality of healthcare. Published in partnership with AONL, Professional Governance for Nursing: The Framework for Accountability, Engagement, and Excellence expertly covers concepts, roles, application, and demonstration of professional governance that facilitates the nurse’s role in advancing the impact and value of nursing care across all health settings. This nursing book informs and deepens understanding of the centrality of nursing professional governance in addressing contemporary issues affecting nursing practice.

The perfect ambulatory care primer for undergraduate nursing students or practicing nurses transitioning from acute care settings, Perspectives in Ambulatory Care delivers expert insight into this evolving specialty and familiarizes readers with the top issues and trends they’ll encounter in ambulatory nursing practice. This authoritative resource clarifies the distinctions between ambulatory care and acute care, details the wide variety of ambulatory care roles and settings and demonstrates the growing impact and importance of nurses outside the hospital setting to help readers confidently meet the challenges of a changing healthcare landscape and succeed in this critical area of care.

Teaches students how to” think like an APRN” This book describes an innovative model for helping APRN students develop the clinical reasoning skills required to navigate complex patient care needs and coordination in advanced nursing practice. This model, the Outcome-Present-State-Test (OPT), encompasses a clear, step-by-step process that students can use to learn the skills of differential diagnosis and hone clinical reasoning strategies. This method facilitates understanding of the relationship among patient problems, outcomes, and interventions that focus on promoting patient safety and care coordination. It moves beyond traditional ways of problem solving by focusing on patient scenarios and stories and juxtaposing issues and outcomes that have been derived from an analysis of patient problems, evidence-based interventions, and desired outcomes. The model offers a blueprint for using standardized health care languages and provides strategies for developing reflective and complex thinking that becomes habitual. It embodies several levels of perspective related to patient-centered care planning, team-centered negotiation, and health care system considerations. Through patient stories and case scenarios, the text highlights care coordination strategies critical in complex patient situations. It provides students with the tools to collect patient information, determine priorities for care, and test interventions to reach health care outcomes by making clinical judgments during the problem-solving process. Concept maps illustrate complex patient care issues and how they relate to each other. For faculty use, the text provides links to relevant APN competencies and provides guidelines for using the OPT when supervising students in field settings. Key Features: Delivers a concrete learning model for developing creative thinking and problem solving in the clinical setting Offers a blueprint and structure for using standardized health care languages Includes patient stories and case scenarios to illustrate effective use of the OPT model Highlights care coordination strategies associated with complex client situations with the use of the Care Coordination Clinical Reasoning model Reinforces methods of reaching a diagnosis, outcomes, and interventions and how to duplicate the process