Advocacy as a dimension incorporates specialized skills related to relationship-building, communication and clinical expertise. This section contains knowledge, skills, attitudes, and sources related to supporting advocacy and empowerment of patients, while working to improve systems and supporting patient-centered care.
Tools of this type are still needed for the CCTM Toolkit, and we welcome your submissions.
Advocacy Knowledge, Skills, and Attitudes for Competency as printed in the AAACN Care Coordination and Transition Management (CCTM) Core Curriculum.
Patients transition among health care settings, levels of care, health care professionals, and their homes. Effective communication between the patient and health care professionals paves the way for safe and effective patient hand-offs.
Care Coordination:The Game Changer—How Nursing is Revolutionizing Quality Care is the first book to show in clear, concise language how care coordination is positioned in the context of healthcare reform.
In this essential text, Editor Gerri Lamb, PhD, RN, FAAN, and 23 of the brightest minds in care coordination at top universities and health systems examine care coordination from all sides.
Example ACO admissions dashboard, used with permission from Beacon Health System.
Transition of Care Home Visit tool, used with permission from Department of Veterans Affairs.
Background and information on CCTM Study Day, conducted by and used with permission from Akron Children's Hospital.
The Plan-Do-Study-Act (PDSA) Worksheet is a useful tool for documenting a test of change. The PDSA cycle is shorthand for testing a change by developing a plan to test the change (Plan), carrying out the test (Do), observing and learning from the consequences (Study), and determining what modifications should be made to the test (Act).
Fully updated and revised by authors T. Heather Herdman, PhD, RN, FNI, and Shigemi Kamitsuru, PhD, RN, FNI, NANDA International Nursing Diagnoses: Definitions and Classification 2018-2020, Eleventh Edition is the definitive guide to nursing diagnoses, as reviewed and approved by NANDA International (NANDA-I).
As part of the implementation of MIPS, clinician performance is measured through the data clinicians report in four areas - Quality, Improvement Activities, Advancing Care Information, and Cost.