Referral Management System
Tools of this type are still needed for the CCTM Toolkit, and we welcome your submissions.
This section contains structure, process, and outcomes in communication, team building and collaboration, quality improvement using evidence-based practice, and informatics to ensure effective care transition communication is performed by the CCTM RN.
Tools of this type are still needed for the CCTM Toolkit, and we welcome your submissions.
Tools of this type are still needed for the CCTM Toolkit, and we welcome your submissions.
Alerts, clinical practice guidelines/protocols, checklists, standardized templates.
Tools of this type are still needed for the CCTM Toolkit, and we welcome your submissions.
Cross-Setting Communication and Transition Knowledge, Skills, and Attitudes for Competency as printed in the AAACN Care Coordination and Transition Management (CCTM) Core Curriculum.
Several sample orientation checklists for multiple positions in involved in care coordination, used with permission from BaylorScott & White.
The Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) collects information about patients’ experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs).
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.
Post Acute Care Hand-Off Note, used with permission from Department of Veterans Affairs.