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presented by Colleen Morley, DNP, RN, CCM, CMAC, CMCN, ACM-RN and Nancy Skinner, RN, CCM, CMGT-RN, ACM-RN, CMCN, FCM
Financial: Colleen Morley receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Nonfinancial: Colleen Morley has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Financial: Nancy Skinner receives compensation from MedBridge for this course. She is a consultant/educator at Encompass. There is no financial interest beyond the production of this course.
Nonfinancial: Nancy Skinner has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Colleen Morley, DNP, RN, CCM, CMAC, CMCN, ACM-RN
Dr. Colleen Morley has held positions in acute care as director of case management at several acute care facilities and managed care entities in Illinois, overseeing utilization review, case management, and social services for more than 12 years and piloting quality improvement initiatives focused on readmission reduction, care coordination through better communication, and population health…
Read full bioNancy Skinner, RN, CCM, CMGT-RN, ACM-RN, CMCN, FCM
Nancy has, for the past 30 years, served as a case manager, director of case management, and international case management educator. In her current role as principal consultant for Riverside HealthCare Consulting, she advances programs that promote excellence in care coordination and other transitional care strategies. She has presented more than 400 on-site programs and…
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1. The Transitional Team
In this chapter, the discussion centers on the identification and definition of key roles on the care coordination team, with emphasis on the value of these relationships and fostering collaboration to create a patient-centered care experience. We look at the difference between interdisciplinary and transdisciplinary teams and the need to eliminate silos.
2. Changing a Handoff to a Handover
We continue the discussion with a comparison between handoff and handover in transition management. Communication across the varied transitional points is vital to the success of the patient, both in sending and receiving information. This chapter features demonstrations of both good and poor examples of sending and receiving between care team members at a key transition point from acute to post-acute care.
3. Mr. Brown’s Journey to Optimal Health
Using the case study of Mr. Brown, we analyze the original what we know with the sending and receiving model. By digging deeper into both sides, we identify more information needed to ensure that Mr. Brown has a more complete and effective transitional experience.
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