In this foundational program, participants will learn processes for identifying patients appropriate for care management services, distinguish between episodic and longitudinal care management, develop workflows and approaches, and learn how to engage with patients to develop personalized care plans. This program contains 15 courses each presenting detailed information with a mix of activities and checks for understanding. To support the application of the learning, participants will also receive access to HealthTeamWorks’ Solutions Center learning community.
Courses: Defining Care Management • Identifying Candidates for Care Management • Managing the Health of the Population • The Role of Maslow's Hierarchy in Care Management • Identifying Patients for Episodic Care Management • Exchanging Data with Target Facilities • Patient Assessment and Documentation for Episodic Care Management • Introduction to Processes and Workflows • Identifying Patients for Longitudinal Care Management • Enrollment, Assessment, and Documentation for Longitudinal Care Management • Developing Your Processes and Workflows • Balancing Panel Size • Establishing the Patient Relationship • An Introduction to Teach-Back and Motivational Interviewing • Collaborative Care Plan Development
