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.

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

HCAHPS On-Line, the official HCAHPS Web site, houses a series of tables that summarize current and historic HCAHPS results. These HCAHPS Tables, available exclusively on HCAHPS On-Line, are based on the HCAHPS data participating hospitals submit to CMS. Before being publicly reported, data are adjusted for the effects of patient-mix and mode of survey administration.

Lean Six Sigma

Lean Six Sigma is simply a process for solving a problem. It consists of five phases: Define, Measure, Analyze, Improve, & Control. This process is also known as DMAIC, the acronym for thosefive phases. DMAIC is a five-step method for improving existing process problems with unknown causes.