The CCTM RN is vital in improving the care coordination of the patient between acute care and ambulatory care. This section contains structure, process, and outcomes in identifying key elements of successful transition planning, exemplars of transition care models in patient-centered care, safety, teamwork and collaboration, and evidence-based practice.
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.
Tools of this type are still needed for the CCTM Toolkit, and we welcome your submissions.
CCTM Between Acute Care and Ambulatory Care 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.
Transition of Care Home Visit tool, used with permission from Department of Veterans Affairs.