ADVANCED CARE COORDINATION TRAINING FOR HEALTHCARE ORGANIZATIONS INCLUDING FEDERALLY FUNDED AGENCIES
- INVESTING IN REGISTERED NURSE EDUCATION
- CONSIDER THE POTENTIAL
- SELECTING RN CANDIDATES FOR EDUCATION & ROLE PREPARATION
- ABOUT NATIONAL RNCM PROGRAMS
- ENSURING SUCCESS
- TECHNOLOGY ACCESS AND SUPPORT
Kelly Kruse Nelles, RN, APRN-BC, MS
(608) 437-6035 (CST)
Healthcare organizations across the country are striving to meet the goals of the Affordable Care Act by becoming high performing, patient centered healthcare systems. This includes putting care coordination initiatives in place. For organizations to experience success in improving care coordination outcomes, Registered Nurses will need to move beyond traditional case manager roles and general care coordination responsibilities to assume new and emerging roles across care delivery settings. Our education programs are designed to prepare nurses quickly and efficiently to acquire the knowledge and skills needed for these new and expanded roles within healthcare organizations.
The greatest number of healthcare professionals within your organization are Registered Nurses. RNs are present in all settings where patients receive care. A well prepared nursing workforce is able to effectively partner with patients and their families, engage patients in self-management and health behavior change, positively affect patient self-care practices and decision-making, provide comprehensive assessment and care planning using shared decision making, implement evidence based interventions and advocate for the right care at the right time. RNs work effectively as contributors to multi-disciplinary care teams. Registered Nurses prepared in contemporary case manager/care coordinator roles work across all care settings from hospital to clinic to home, and are well positioned to connect patients, providers and services to assure that care is coordinated, safe and truly patient centered. Placing well prepared nurses in these roles allows your organization to put in place a “proactive” strategy to identify population health needs. This assures that patients most in need of targeted care, and those who utilize expensive services, including high risk patients, are prioritized for specialized care coordination services such as case management and care transitions. The complexity of patients with multiple chronic conditions concurrent with the changes occurring within the U.S. healthcare system require specialized knowledge that expands on basic principles of care coordination learned in undergraduate and graduate nursing education. To date, most practice sites provide “in-house” or “on the job training” for RNs hired to fill contemporary roles. Reliance on “on the job training” is simply not enough. Investing in RNs as they adopt new contemporary Case Manager and Advanced Care Coordination roles is essential to assure success of both the nurse and the healthcare organization.
Our experience educating RNs for current case manager and care coordinator roles reveals that there are significant, positive outcomes that occur when Registered Nurses selected from within the same organization are able to learn together and engage in discussion. Nurses are then more fully able to develop their positions by having gained a fuller understanding of:
- Health system, financing and policy changes shaping care delivery including the Affordable Care Act, Care Coordination Metrics and the Triple Aim
- Contemporary RN Case Manager/Care Coordinator role development including an emphasis on patient centered care, health literacy, patient and population engagement, behavioral change strategies and self-management support
- Contemporary RN Case Manager/Care Coordination practice including professional development, leadership and team based care
Through education and role preparation, organizational leaders also can expect to acquire opportunities to:
- Determine Care Coordinator leaders who can be positioned across organizational patient care settings to improve care coordination processes
- Evaluate care coordination practice including the experiences of patients, their care givers and the healthcare team
- Identify RNs who have the potential to provide peer review and mentorship within the organization. This includes RNs already certified as case managers, and those eligible for Board certification
Newer roles differ significantly from traditional case manager roles that included phone banks, utilization review and resource management. Selection of the appropriate staff to fill distinctly new positions is critically important. Contemporary RN Case Managers/Advanced Care Coordinators are in “front line” positions to partner with patients and their caregivers as they move across the healthcare continuum helping to ensure that patients receive the right care at the right time. RN Candidates for our courses should include:
- Registered Nurses new to RN Case Management
- Registered Nurses with experience or certified in case management looking to expand their practices to include contemporary RNCM practice
- Registered Nurses who are supervisors or program developers for RN Case Managers/Care Coordinator positions
- Registered Nurses working in advanced care coordination positions within Accountable Care Organizations and Patient Centered Medical Homes
- Advanced Practice Registered Nurses pursuing care coordination knowledge for PCMHs, ACOs, transitional care and leadership roles.
The National RN Case Manager Training Center works collaboratively with interested organizations that commit to preparation of Registered Nurses for new and emerging case management and care coordination roles within their practice settings. Our courses deliver high quality, evidence based content designed to support RNs in their ability to acquire new knowledge quickly and efficiently. Content focuses on application in practice and addresses quality measures, patient-centered multidisciplinary teams and improved patient engagement and satisfaction. Courses are offered in both online and face-to- face + online (blended) learning formats. Use of our eLearning platform/classroom allows content to be delivered using a variety of learning methods that include faculty lecture, videos, recommended readings, as well as, evidence based clinical tools and resources. Courses are fully vetted and curricula are developed and taught by expert faculty. Lead Faculty and Co-Directors of the National RN Case Manager Training Center, Mary Jo Borden and Kelly Kruse Nelles have over 60 years of combined experience in nursing education, curriculum development and clinical practice. Their foundational work in clinical practice and education for Nurse Practitioners evolved their commitment to developing appropriate education and training support for RNs moving in to contemporary Case Manager and Care Coordination roles. It is their shared belief that RNs in care coordination roles are essential to fulfilling the systems and practice transformation changes consistent with the Triple Aim.
Dedicated Time for Learning
Whether selecting face-to-face faculty led classroom instruction or faculty facilitated online learning, RNs must have dedicated time to complete the course. We have flexible options for content delivery and can work with you to determine what might work best for your organization.
Put Your Care Coordination Leadership Team in Place Now
We strongly recommend that health care organizations put in place a Care Coordination Leadership Team that will work to support RNs in successful implementation of their newly acquired knowledge and skills. This is an important recommendation for success going forward. The Care Coordination Leadership Team can facilitate problem solving and system changes identified by newly trained RNs and put in place processes to increase full team understanding of the role, enhance care coordination across sites, improve health outcomes and evaluate patient satisfaction.
Designated Point Person
Organizations are responsible for providing a point person to serve as a communication liaison between the organizational leader(s) and National RNCM faculty to ensure such activities as participant registration and details related to course delivery are facilitated smoothly and participant progress is communicated.
National RNCM faculty monitors participant progress to ensure that learning activities are accomplished and CE requirements met. Participant progress is communicated to the organizational leader(s) periodically throughout the course.
On our eLearning platform we provide participants with access to our online classroom. There participants can access courses and retrieve course materials and tools for practice. Participants will need to have computer and internet availability to participate in the online classroom. Technology recommendations are straight forward, but participants often have varying levels of comfort and knowledge related to computer use. We recommend that onsite IT support be accessible to participants. National RNCM provides IT support related to registration, enrollment and access to course content, however, we are unable to provide individual instruction related to computers and technology use on private equipment. We recommend the following to connect to our eLearning platform: