Coaching and counseling of patients encompasses communication and teamwork. The CCTM RN guides and directs patients to improve their care. This section contains 5 A's Behavior Change Model, Patient-Provider Interaction, Standard Operating Procedures, and Community and Organizational Policies.
This guide was commissioned by the Agency for Healthcare Research and Quality (AHRQ) to identify ways evidence-based strategies for reducing readmissions can be adapted or expanded to better address the transitional care needs of the adult Medicaid population.
Guidelines for using the 5A's (Assess, Advise, Agree, Assist, Arrange) approach to behavioral health issues.
An abbreviated cognitive assessment tool for healthcare providers.
A functional assessment tool used for care planning with the geriatric patient.
A screening tool for drug and alcohol use.
This article reviews assessment of patient learning styles in combination with context for an individualized approach, as well as motivation for adult learners as a framework for organization of patient teaching. Methods and modes of patient teaching are discussed as well as tips for overcoming barriers to planning and implementing patient teaching.
The purpose of this toolkit is to help all health care providers learn to use teach-back - every time it is indicated - to support patients and families throughout the care continuum, especially during transitions between health care settings.
The law provides numerous rights and protections that make health coverage more fair and easy to understand, along with subsidies (through “premium tax credits” and “cost-sharing reductions”) to make it more affordable; including expanding the Medicaid program to cover more people with low incomes.
The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance.
Guided Care® helps primary care practices meet the complex needs of patients with multiple chronic conditions. In this proven care model, a trained Guided Care nurse works closely with patients, physicians and others to provide coordinated, patient-centered care.