Telehealth nursing practice encompasses the utilization of multiple media such as telephone, electronic mail, internet, video monitoring, facsimiles, and interactive video. Competence in utilizing these various media are essential in the CCTM RN role. This section contains structure, process, and outcomes in integrating tele-health equipment and other media into clinical care.
Dementia Care MappingTM is designed to empower staff teams to engage in evidence-based critical reflection in order to improve the quality of care for people living with dementia. It provides a direct and ongoing evidence base for practice and practice change. As such, it provides an excellent example of the principles of care mapping, in general; for any condition.
A functional assessment tool used for care planning with the geriatric patient.
The Telehealth Manager Toolkit is designed to be a resource for managers and leaders.
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.
Under the direction of Eric A. Coleman, MD, MPH, the Care Transitions Program® will help you manage risk and empower patients during care hand-overs.
AAACN has developed a number of resources focused on CCTM; including the CCTM Model, CCTM Core Curriculum, and CCTM online modules.
This report is the third in a series of ANA policy documents addressing care coordination and it presents the Framework by explaining its origin, detailing its component parts, and illustrating how it combines to inform quality measurement and improve care within the broader health care environment. The report’s supplements are intended to provide additional information and a summary of the supporting evidence base.
As recent studies suggest, professional nurses have the potential for significant contributions to patient-centered, cost-effective care through the care coordination role. In order to fully achieve this potential, clear models and outcome measures are needed which specify the context for care coordination, identify nursing competencies, and value the nurse’s role within the health care team.