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.

Support for Self-Management 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.

Example Care Coordination communication templates, used with permission from Emory Healthcare.

Background and information on CCTM Study Day, conducted by and used with permission from Akron Children's Hospital.

Medican Social Worker job description, used with permission of BaylorScott & White.