Advanced Care Coordination Series: Populations
In this series the role of the Registered Nurse in advancing care coordination within the context of various patient populations is examined. Learning sessions provide an overview of changes occurring in the U.S. healthcare system and some of the specific populations affected are considered. Social determinants of health for various populations are discussed with patient centered care as it relates to care coordination provided by RNs will be emphasized. Current evidence and resource to support care coordination practice are recommended.
Who Should Enroll
- All RNs caring for older adults or special populations who want to know more about care coordination.
- Registered Nurses new or experienced in RN care management, care transitions or care coordination who are seeking a better understanding of new and emerging care coordination roles and expectations.
- All RNs who work with Veterans and/or American Indians/Alaska Natives.
- RNs and Advanced Practice RNs who are working in Accountable Care Organizations, Patient Centered Medical Homes or Long Term Services and Supports.
CE Accreditation Statement
- This nursing continuing professional development activity was approved by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. WNA CEAP Approval Number: WICEAP-0183
Continuing Education hours will be awarded only for those hours completed. Up to 27 hours may be completed through this series.
RN Case Managers who are certified by CCMC, the Commission for Case Manager Certification, are required to submit 80 hours of continuing Education every 5 years. All Courses offered by the National RN Case Manager Training Center are pre-approved by the American Nurses Credentialing Center and accepted for renewal by CCMC. CCMC has posted clear downloadable instructions for submitting renewal CE. There is a nominal charge of $15.00 per submission for CE that has not been pre-approved by CCMC. See CCMC website renewal section for details. https://ccmcertification.org/stay-certified/renewal/renewal-guide
National RNCM Continuing Education courses are ANCC approved for use in all U.S. States and territories.
Learning Option: Online
Online education is an effective course delivery strategy for learners who desire or need the convenience and flexibility to learn at their own pace and in their own environment. Online learning requires participants to be self-directed in completing program content. Comfort with technology and strong time management skills are a must. In this learning format, faculty utilize the Training Center’s eLearning platform to deliver lectures, course content, materials and practice resources and tools. Online Training is also available to organizations upon request.
How This Series Works
- Select from the list of sessions to meet your own individual learning needs.
- Register and receive course confirmation via email and begin.
- Complete content working at your own pace, on your own schedule coming in and out of the online classroom as your time allows.
- 30 days to complete each Session.
- Interact with faculty as needed electronically.
- Print off/download your CE award upon completion of the content.
Sessions / Topics in this Series
Family and Informal Caregiver Support (3 CE)
As the U.S. healthcare system transitions to a community based, person and family centered model, many patients are being discharged directly from acute care settings to their homes or other community based private settings. In this session, family caregiver demographics and training/support needs will be discussed. Patients now often rely on family or informal caregivers to ensure safe transitions, and implement complex medical care formerly provided be nurses; including, provision of medical treatments, medication management, multiple appointments scheduling and knowledge of available resources. Learn how RNs can provide support for Caregivers, and understand the burdens a caregiver faces when providing care for a loved one at home. Financial realities and policies to support these changes are explained. Validated caregiver assessment tools and caregiver video training options are recommended.
U.S. Veterans in the VA and Private Sector (4 CE)
Effective Care Coordination for Veterans requires RNs to understand the unique features of the Veterans Health Administration (VHA), financial and funding differences and similarities from public and private health care delivery models. In this session, RNs will be able to learn about the unique demographics and characteristics of the VA patient populations and service delivery systems. The Mission Act (formerly the Veterans Choice Program) will be explained. Strategies for reducing care fragmentation and improving veteran satisfaction with care are described.
American Indian/Alaska Native Populations including an Overview of the Indian Healthcare System (4 CE)
In this session, an overview of the Indian Health Service (IHS) including federal funding sources and a comparison of service access and availability between IHS and the private sector will be discussed. Social determinants of health and population health disparities specific to American Indian/Alaska Natives (AI/AN) as it impacts individuals, families and tribes are described. Nursing implications for coordinating referrals for financial, medical and other health needs for AI/AN people both in and outside of the IHS system are emphasized including resources to support RN understanding of the unique care coordination needs of this population.
Older Adults (4 CE — Coming Soon!)
Every day in the U.S. 10,000 adults turn age 65 reminding nurses that the population they most often care for is rapidly growing older. Many older adults are now challenged with managing both chronic health conditions and variations of aging resulting in a changing health status and more frequent use of healthcare resources. Key to effective care coordination includes nursing’s assessment of older adults for age related changes and potential impact on overall health status and outcomes. This session will focus specifically on increasing nurses understanding of normal changes that commonly occur with aging and identification of physical, emotional, cognitive and sociologic changes that may increase health risk for older adults. Evidence based assessment tools and interventions that nurses can use will be recommended. Health promotion including coping and adaptive strategies will be discussed.
Rural (3 CE — Coming Soon!)
In this session the demographics of rural populations across the United States are described and the differences in care coordination between urban/suburban and Rural America are discussed. Care coordination strategies designed to meet patient needs and preferences in the delivery of high-quality, high-value health care in rural settings are introduced and best practices to develop RN care coordination services are recommended.