Implementing effective transitions of care from one healthcare setting to another has seen an increased focus on improving quality of care in all healthcare settings. Improving transitions of care helps support the effort to decrease hospital readmissions and improve quality outcomes. This course defines care transition and presents the components of an effective healthcare transition plan as it relates to the transition of care between home health and other healthcare settings. The content of this course is applicable to nursing professionals and social workers in home health.
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.00 contact hours for participating in this course.
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (CEBroker Provider #50-290)
Ohio Counselor, Social Worker and Marriage and Family Therapist Board (CEBroker Provider # 50-290)
Florida Board of Nursing (CEBroker Provider #50-290)
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.
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 1.00 General continuing education credits.
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 1.00 continuing education hours for participating in this course. This activity is approved for 1.00 contact hours.
Georgia Board of Nursing (CEBroker Provider #50-290)
South Carolina Board of Nursing (CEBroker Provider #50-290)
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
New Mexico Board of Nursing (CEBroker Provider #50-290)
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
South Carolina Board of Social Work Examiners (CEBroker Provider 50-290)
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.00 contact hours for participating in this course.
Mississippi Board of Nursing (CEBroker Provider #50-290)
North Dakota Board of Nursing (CEBroker Provider #50-290)
West Virginia Board of Social Work (CEBroker Provider #50-290)
Wyoming Board of Nursing (CEBroker Provider #50-290)
Kansas State Board of Nursing (CEBroker Provider #50-290)
Outline:
About This Course
Learning Objectives
Section 2: Care Transitions and Why They Are Important
Background and Overview
CMS Requirements
Definition of Care Transitions
Impact on Patient Outcomes
Other Adverse Outcomes
What Care Transitions Are NOT
Review
Summary
Section 3: Effective Care Transitions
Effective Transition of Care Programs
Ineffective Transition of Care Programs
Components with a Positive Effect
How to Strengthen the Care Transition Process
Review
Summary
Section 4: Care Transition Programs
Available Programs
Care Transitions Intervention (CTI)
Transitional Care Model (TCM)
BOOST
AIMS Model
The Bridge Model
Project RED
What Can You Do?
Review
Summary
Section 5: Conclusion
Course Summary
Course Contributor
Resources
References
Tameka N. Warren, MSN, RN, CLC, earned her Bachelor and Master of Science in Nursing degrees from Indiana University School of Nursing at IUPUI, and her Associate of Science in Nursing from Ivy Tech College. She has over 18 years of nursing experience in public health, regulation, home health, leadership, education, maternal child community health, and long-term care environments. Tameka has served as a leader in home healthcare practices, quality improvement, and education as a community health nurse and a Public Health Nurse Surveyor (Home Health & Hospice) certified by the Centers for Medicare & Medicaid Services, or CMS. She has served as a maternal and infant mortality advocate in managing home visiting services, supporting legislation to improve maternal child care in diverse communities, and as an ALPP Certified Lactation Counselor. She has also served as an Adjunct Clinical Professor to further awareness about the importance of community health nursing. Tameka’s passion is to serve the most vulnerable populations affected by health disparities and to inspire a new generation of nurses to do the same successfully.
Disclosure: Tameka N. Warren, MSN, RN, CLC has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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