Care Coordination
What You’ll Learn
- Define care coordination
- Define the clinician’s role in care coordination
- Identify patients and caregivers who will most benefit from care coordination
- Identify strategies for embedding care coordination into practice
What You’ll Earn
Only CAPC members who are logged in can earn the following free Continuing Education Credits:
- Case Management: 1.00 CE
- Medicine: 0.75 CME
- Nursing: 1.00 CNE
- Social Work: 1.00 CE (NYSED)
- Social Work: 1.00 CE (NASW)
To take this course, log in. Or, check here to see if your organization is a member.
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Tools & Resources
A structured process for assessing gaps the care coordination needs of patients and organizational stakeholders. Center to Advance Palliative Care, 2016.
Course citations. Center to Advance Palliative Care, 2016.
A model for addressing gaps in care for patients living with serious illness, including safe care transitions. American Hospital Association, 2012.
Area Agencies on Aging (AAAs) provide a range of aging services to enable older adults to “age in place” in their homes and communities.
A publication by the California Health Care Foundation. Includes case studies, and guidance for improving care coordination in primary care.
Guidance from the Case Management Society of America on case management certification options.
Each publication of The Commission's Issue Briefs covers topics that are timely and relevant for today’s professional case manager.
A leading national model for improving care transitions led by Dr. Eric Coleman.
Department of Health and Human Services, Centers for Medicare and Medicaid Services.
Guidance from the NQF on measures for care coordionation.
Toolkit with billing and coding best practices for palliative care services delivered in the hospital or the community.
Course Faculty
Andrew E. Esch, MD, MBA. Consultant, Center to Advance Palliative Care.
Lolita Melhado, MSN, ARNP, FNP-BC. Family Nurse Practitioner/Palliative Care, Gulf Coast Medical Center - Lee Memorial Health System.
Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN. Consultant, Center to Advance Palliative Care.
Peer Reviewers
Elizabeth Mann, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.
Contact information: For answers to frequently asked questions about CAPC courses, read the Online Course FAQ. For technical questions about course activity, email [email protected]. For questions about continuing education credits, contact 201-957-0077.
Provided by the Icahn School of Medicine at Mount Sinai.
This course provides context and best practices for identifying older adults at risk for poor outcomes, including falls, delirium, and caregiving challenges.
Assessing and supporting caregivers of people with serious illness.