Chronic Disease Care Coordination: A Payer's Perspective
Hours: 1.25
Care coordination can be defined as the organization of patient care between at least two people who provide care in order to facilitate care that is more efficient, safe, and effective (Agency for Healthcare Research and Quality [AHRQ], 2018). Uncoordinated care can result in duplication of service or lack of necessary services for patients with chronic conditions. Both examples can lead to higher short-term and long-term costs and worse patient outcomes. Conversely, coordination of care can have a positive impact on both care and provider reimbursement. This course provides information about all aspects of care coordination, how it is practiced today, and what we can do in the future. It also provides a review of the different components of care coordination and how to apply these components in your workplace.
The goal of this course is to provide case and care management professionals, nursing professionals, and social work professionals in acute care settings with information about care coordination for patients with chronic diseases.
Care coordination can be defined as the organization of patient care between at least two people who provide care in order to facilitate care that is more efficient, safe, and effective (Agency for Healthcare Research and Quality [AHRQ], 2018). Uncoordinated care can result in duplication of service or lack of necessary services for patients with chronic conditions. Both examples can lead to higher short-term and long-term costs and worse patient outcomes. Conversely, coordination of care can have a positive impact on both care and provider reimbursement. This course provides information about all aspects of care coordination, how it is practiced today, and what we can do in the future. It also provides a review of the different components of care coordination and how to apply these components in your workplace. The goal of this course is to provide case and care management professionals, nursing professionals, and social work professionals in acute care settings with information about care coordination for patients with chronic diseases.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.2000 contact hours for participating in this course.
Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling
Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (CEBroker Provider #50-290)
This activity is approved for 1.25 contact hours.
Ohio Social Worker Board
Ohio Counselor, Social Worker and Marriage and Family Therapist Board (CEBroker Provider # 50-290)
This activity is approved for 1.25 contact hours.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.0000 contact hours for participating in this course.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.25 Nursing Contact Hours after successfully completing this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.25 contact hours for participating in this course.
South Carolina Board of Social Work Examiners
South Carolina Board of Social Work Examiners (CEBroker Provider 50-290)
Association of Social Work Boards
As a Jointly Accredited Organization, Relias LLC is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Relias LLC maintains responsibility for this course. Social workers completing this course receive 1.25 General continuing education credits.
Course Delivery Format: Asynchronous Distance Learning-interaction includes quizzes with questions and answers, post-tests. This module is Reading-Based Online.
New York State Education Department, Office of the Professions, Division of Professional Licensing Services, Social Work Unit
Relias, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0009.
Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of licensed master social work and licensed clinical social work in New York. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice for an LMSW and LCSW. A licensee who practices beyond the authorized scope of practice could be charged with unprofessional conduct under the Education Law and Regents Rules.
As a provider of online, asynchronous education, some courses offered by Relias Learning are considered “self-study” under section 74.10(c)(2)(ii)(b)(4) of the Commissioner’s Regulations. The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months.
Social workers will receive 1.25 continuing education hours for participating in this course. This activity is approved for 1.25 contact hours.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Define and describe the role care coordination can play in managing health and healthcare costs.
Identify the components, participants, and processes involved in care coordination.
Identify the responsibilities of healthcare professionals in using care coordination processes to improve healthcare delivery.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: The Complexity of Care Coordination
Meet Laura
Define Care Coordination
The Components of Care Coordination
Why is Care Coordination Necessary for Those with Chronic Diseases?
The Chronic Care Model
Self-Management
Case Management
Different Care Coordination Approaches
Results of Care Coordination
Review
Summary
Section 3: Creating a Better Experience with Care Coordination
Identify Beneficiaries
Identify Participants
Developing and Implementing the Plan of Care
Evaluation of Care
Cost Effectiveness
Review
Summary
Section 4: Current Efforts
Care Coordination Vendors
Private or Public
Medicare
State Medicaid Programs
Department of Veterans Affairs (VA)
Private Sector Efforts
Review
Summary
Section 5: Social Determinants of Health
What is Working and What is Not
Measuring Outcomes
Review
Summary
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Instructor: Carrie Furberg, BSN, RN, CRN
Carrie Furberg, BSN, RN, CRN, has over ten years' experience in radiology nursing, in vascular and interventional radiology as well as all imaging modalities. She is a Certified Radiology Nurse with clinical expertise in procedural sedation, cardiac CT, and radiation safety, and has prior experience in critical care, cardiac stepdown, and emergency care. She is a member of the Association for Radiologic and Imaging Nursing (ARIN) and RAD-AID International.
Disclosure: Carrie Furberg, BSN, RN, CRN has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
The target audience for this course is: Beginner, Beginner level Social Workers; Case Managers; Nurses; in the following settings: All Healthcare Settings.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
