5 A s Behavior Change Model Adapted for Self-Management Support Improvement
|
|
|
- Steven Miller
- 9 years ago
- Views:
Transcription
1 5 A s Behavior Change Model Adapted for Self-Management Support Improvement Self-Management Model with 5 A s (Glasgow, et al, 2002; Whitlock, et al, 2002) Assess: Beliefs, Behavior & Knowledge Arrange: Specify plan for Follow-up (e.g., Visits, Phone calls, Mailed Reminders) Personal Action Plan 1. List specific goals in behavioral terms 2. List barriers and strategies to address barriers. 3. Specify Follow-up Plan 4. Share plan with practice team and patient s social support Advise: Provide specific Information about Health risks and Benefits of change Assist: Identify personal Barriers, Strategies, Problem-solving techniques and Social/Environmental Support Agree: Collaboratively set goals Based on patient s interest and confidence in their ability to change the behavior. Improvement Goal: All chronic illness patients will have a Self-Management (SM) Action Plan informed by and including all the 5 A s elements (Assess, Advise, Agree, Assist, Arrange). The 5 A s Behavior Change Model is intended for use with the Improving Chronic Illness Care Chronic Care Model (CCM). Ideas are for teams to test in their own setting. Add to this list as you experiment with PDSA cycles and hear about strategies that have worked well for other teams.
2 Assess Have patient periodically complete valid health behavior surveys and provide them with feedback. - Try brief behavior survey in a) waiting room, b) on computer. - Assess patient knowledge about their chronic condition. - Ask patient, what about Self- Management (SM) is most important to talk about today? - Ask patient, what are your most challenging barriers?, recognizing physical, social and economic barriers. - Provide patient with personalized feedback and results. - Assess conviction and confidence regarding target behaviors. - Select or develop HRA survey. - Employ conviction and confidence rulers. - Revise self-care surveys to make appropriate. - Add fields to the medical record to record behavior status for smoking; weight, exercise. -Add behaviors to the problem list for patient. - Prompt staff to collect or update key behaviors status at each visit. - Have computer in waiting room for HRA assessment with print outs for providers and/or patients. - Employ outreach and population-based approach to assess all patients across multiple chronic illnesses. -Pilot approaches to providing feedback to patients--check for understanding. Community: - Conduct needs assessment in partnership with community groups (eg. include formative eval with potential users and non-users, small-scale recruitment studies to enhance methods.) - Work on state health dept or other coalition to develop community health behavior survey or assess barriers to change. - Share data on BRFSS items or other behaviors with other organizations. Internal system policy - Employ longitudinal patient assessment system (eg. using interactive computer technology). - Make screening on all 4 health behaviors a vital sign; and require reporting on all patients at some frequency.
3 Advise Provide personally relevant, specific recommendations for behavior change. - Relate patient symptoms or lab results to their behavior, recognizing patient s culture or personal illness model. - Inform patient that behavioral issues are as important as taking medications. - Provide specific, documented behavior change advice in the form of a prescription. -Share evidence-based guidelines with patients to encourage their participation. - Develop list of benefits of behavior change/risk reduction. - Develop list of common symptoms that exercise, losing weight or stopping smoking can improve. - Arrange prompt system to remind physicians to advise behavior change. - Provide prompt to have physician advise on importance of calling if any trouble taking medication as prescribed. - Reinforce/ Recognize/ Reward staff for documented advice to change behavior. -Recommend or lobby purchasers, health plan, and government to reimburse 5 A s/sm Action Planning.
4 Agree Use shared decisionmaking strategies that include collaborative goal setting. - Have patient develop specific, measurable, feasible SM goal for behavior change. - Provide options and choices among possible SM goals. - Do above with input from family or spouse, and with support/assistance from caregiver. -Share perspectives with patient on what is most important short -term goal-- agree on a specific target. - Present evidence on benefits and harms to patient and let them decide on course. - Make sure patient SM goals are in chart and all team members refer to them. - Provide staff with training in patientcentered counseling or empowerment training, which may include videos on motivational interviewing or goal setting. - Have in-service from expert on shared decision making. - Incorporate videos on patient role or choice into practice, and have patients see prior to consultation. - Develop multi-modal intervention to promote practice change rather than one utilizing single strategy.. Community -Meet with organizations to identify agreed upon self-management support (patient education) priorities for coming year. - Create field or permanent space in medical record for behavioral goals. - Develop assessment method to determine that goals were set in a collaborative fashion. - Require peer observation and feedback on real or simulated patients at a minimum of every 4 months. - Require or reimburse documentation of collaboratively set goals in medical records. - Recognize providers who have completed training in motivational interviewing; Bayer course on collaboration; etc.
5 Assist Use effective selfmanagement support strategies that include action planning and problem solving. Help patients create specific strategies to address issues of concern to them. - Help patient develop strategies to address barriers to change (write on Action Plan form). -Implement patient discussion of SM Action Plan a) during PCP visit, b) immediately before or after with nurse. -Refer patient to evidence based education or behavioral counseling-- individual or group. -Elicit patient s views and plans regarding potential resources and support within family and community. - Use planned interactions to support evidencebased care. -Give care that patients understand and that fits with their cultural background. - during follow-up visits, review progress, experience, concerns; renegotiate goals and revise action plan. - Select/develop SM Action Plan form. - Adapt SM Action Plan for your setting, specifically focusing on the 4 s (size, scope, scalability and sustainability) in planning any office restructuring. -Develop specific plan to enhance SM resources--by addressing the REAIM dimensions-- to make sure you are addressing all key issues for panel wide or community impact. - Make sure blank action plan forms are in each exam room. Community: - Work with community groups and referrals to develop Action Plans and communication avenues. -Get list of your patients who have used resources--get their feedback. - Compile list of recommended quality resources that can be shared with staff and patients. -Evaluate adverse outcomes and quality of life for program revision and costbenefit analysis. -Recognize/reward teams that have higher levels of documented action plans. -Add behavior change counseling to HEDIS criteria for each behavior for adult patients who receive such counseling. -Also, make problemsolving, shared decision-making, or approved SM support programs a HEDIS criteria.
6 Arrange CCM elements: Follow-up on action plans. Follow-up on referrals. Establish two-way communication and partner with community groups to improve services and linkages. - Give patient copy of SM Action Plan. - Follow-up call to patient within a week after visit as booster shot for SM Action Plan. - follow-up or brief letter restating plan and inviting questions. - Arrange for patient to contact specific community resources that could support their goals. - Follow-up with goals set in action plan at each non-acute visit. -Develop collaborative process that can facilitate communications and support with other practices. -Develop follow-up checklist/prompt to make sure follow-up is provided. -Include blank on action plan form for follow-up date. Community: - Invite community program representatives to present at patient group visit, diabetes class, or health fair. - Follow-up with community programs to see how many patients attended and to get information on their progress. - Employ longitudinal patient monitoring and feedback systems related to their SM goals. - Provide time or incentives for followup contacts. -Recognize/Reward social and economic environment in which these health systems interventions occur. -Reimburse follow-up phone calls, contacts, etc., outside of face-to-face visit.
CHAPTER 535 HEALTH HOMES. Background... 2. Policy... 2. 535.1 Member Eligibility and Enrollment... 2. 535.2 Health Home Required Functions...
TABLE OF CONTENTS SECTION PAGE NUMBER Background... 2 Policy... 2 535.1 Member Eligibility and Enrollment... 2 535.2 Health Home Required Functions... 3 535.3 Health Home Coordination Role... 4 535.4 Health
Approaches to Asthma Management:
Approaches to Asthma Management: BY CAROL MCPHILLIPS-TANGUM AND CAROLINE M. ERCEG ASTHMA IS A CHRONIC DISEASE that affects millions of people in the United States and disproportionately impacts children,
Game Changer at the Primary Care Practice Embedded Care Management. Ruth Clark, RN, BSN, MPA Integrated Health Partners October 30, 2012
Game Changer at the Primary Care Practice Embedded Care Management Ruth Clark, RN, BSN, MPA Integrated Health Partners October 30, 2012 Objectives To describe the recent evolution of care management at
Health Care Homes Certification Assessment Tool- With Examples
Guidelines: Health Care Homes Certification Assessment Form Structure: This is the self-assessment form that HCH applicants should use to determine if they meet the requirements for HCH certification.
Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment
Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Donna Zazworsky, RN, MS, CCM, FAAN Vice President: Community Health and Continuum Care Carondelet Health
NCQA PCMH 2011 Standards, Elements and Factors Documentation Guideline/Data Sources
NCQA PCMH 2011 Standards, Elements and Factors Documentation Guideline/Data Sources Key: DP = Documented Process N/D = Report numerator and denominator creating percent of use RPT = Report of data or information
Health System Strategies to Improve Chronic Disease Management and Prevention: What Works?
Health System Strategies to Improve Chronic Disease Management and Prevention: What Works? Michele Heisler, MD, MPA VA Center for Clinical Practice Management Research University of Michigan Department
Primary Care-Mental Health Integration (PC-MHI) Functional Tool
Primary Care-Mental Health Integration (PC-MHI) Functional Tool The purpose of this tool is to outline the essential elements of a fully functional Primary Care-Mental Health Integration (PC-MHI) program
Partnerships in Primary and Behavioral Health Care ACO Survival Integrated Care
Partnerships in Primary and Behavioral Health Care ACO Survival Integrated Care Ensuring Success for ACOs September 22 23 Joyce Wale LCSW Vice President, Institute for Behavioral Healthcare Improvement
HealthCare Partners of Nevada. Heart Failure
HealthCare Partners of Nevada Heart Failure Disease Management Program 2010 HF DISEASE MANAGEMENT PROGRAM The HealthCare Partners of Nevada (HCPNV) offers a Disease Management program for members with
Healthcare provider cessation practices in Ontario. Alexey Babayan Knowledge Exchange Forum June 18, 2014
Healthcare provider cessation practices in Ontario Alexey Babayan Knowledge Exchange Forum June 18, 2014 What we know Tobacco cessation interventions by healthcare providers (physicians, nurses, dental
Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: February 19, 2014
Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: February 19, 2014 Introduction The Office of Mental Health (OMH) licensed and regulated Assertive Community
Question & Answer Guide
Joint Commission Primary Care Medical Home (PCMH) Certification for Accredited Ambulatory Health Care Organizations Question & Answer Guide A. SCORING/DECISION-RELATED Question: We are already Joint Commission
Integrated Health Systems: Promise And Performance
Integrated Health Systems: Promise And Performance Stephen M. Shortell, Ph.D. Blue Cross of California Distinguished Professor of Health Policy and Management Professor of Organization Behavior Dean, School
Objectives. Family Stress. Pediatric Diabetes Complications. Diabetes Self-Management Education (DSME)
Objectives Recognize the problem related to lack of access to pediatric diabetes subspecialist in Rural Maryland. Appreciate the impact of pediatric telehealth delivery of care to improve access to pediatric
Implementing CDSMP in an integrated health care system
Implementing CDSMP in an integrated health care system The Group Health experience October 2, 2009 Kimberly Wicklund, MPH Group Health Overview Consumer-governed, non-profit financing and care delivery
How To Prepare For A Patient Care System
Preparing for Online Communication with Your Patients A Guide for Providers This easy-to-use, time-saving guide is designed to help medical practices and community clinics prepare for communicating with
CCNC Care Management
CCNC Care Management Community Care of North Carolina (CCNC) is a statewide population management and care coordination infrastructure founded on the primary care medical home model. CCNC incorporates
Provider Manual. Section 18.0 - Case Management and Disease Management
Section 18.0 - Case Management and Disease Management 18.1.1 Introduction 18.2.1 Scope 18.3.1 Objectives 18.4.1 Procedures Case Management 18.4.1-A. Referrals 18.4.1-B. Case Management Mercy Maricopa Acute
Health Care Leader Action Guide to Reduce Avoidable Readmissions
Health Care Leader Action Guide to Reduce Avoidable Readmissions January 2010 TRANSFORMING HEALTH CARE THROUGH RESEARCH AND EDUCATION Osei-Anto A, Joshi M, Audet AM, Berman A, Jencks S. Health Care Leader
Congestive Heart Failure Management Program
Congestive Heart Failure Management Program The Congestive Heart Failure Program is the third statewide disease management program developed by CCNC. The clinical directors reviewed prevalence and outcome
IEEE-USA Employment and Career Services Member Survey Summary and Report of Findings
IEEE-USA Employment and Career Services Member Survey Summary and Report of Findings On October 10, the attached survey was sent to 458 IEEE members who had agreed to serve on survey panels. The survey
Disease Management Identifications and Stratification Health Risk Assessment Level 1: Level 2: Level 3: Stratification
Disease Management UnitedHealthcare Disease Management (DM) programs are part of our innovative Care Management Program. Our Disease Management (DM) program is guided by the principles of the UnitedHealthcare
CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT
CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT HEALTH SERVICES AND PROGRAMS The Plan s Health Promotion and Disease Management Department seeks to improve the health and overall well-being of our
BEACON HEALTH STRATEGIES, LLC TELEHEALTH PROGRAM SPECIFICATION
BEACON HEALTH STRATEGIES, LLC TELEHEALTH PROGRAM SPECIFICATION Providers contracted for the telehealth service will be expected to comply with all requirements of the performance specifications. Additionally,
DoDEA Personnel Center HR Competency Definitions
DoDEA Personnel Center HR Competency Definitions ATTACHMENT 10 Business Management Competencies Business Process Reengineering Applies business process reengineering principles and techniques to reengineer
Question & Answer Guide. (Effective July 1, 2014)
Joint Commission Primary Care Medical Home (PCMH) Certification for Accredited Ambulatory Health Care Organizations Question & Answer Guide (Effective July 1, 2014) A. ELIGIBILITY/DECISION-RELATED Question:
2015-16 Rubric for Evaluating Colorado s Specialized Service Professionals: Audiologists
2015-16 Rubric for Evaluating Colorado s Specialized Service Professionals: Audiologists Definition of an Effective Audiologist Effective audiologists are vital members of the education team. They are
ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT
ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have
State Innovation Model
State Innovation Model P a t i e n t C e n t e r e d M e d i c a l H o m e W e b i n a r M a y 1 1, 2 0 1 6 1 Agenda SIM Overview & Updates Patient Centered Medical Home Overview Questions 2 1 SIM Overview
Kaiser Permanente of Ohio
Kaiser Permanente of Ohio Chronic Disease Management Program March 11, 2011 Presenters: Amy Kramer and Audrey L. Callahan 1 Objectives 1. Define the roles and responsibilities of the Care Managers in the
Chapter 4 Health Care Management Unit 1: Care Management
Chapter 4 Health Care Unit 1: Care In This Unit Topic See Page Unit 1: Care Care 2 6 Emergency 7 4.1 Care Healthcare Healthcare (HMS), Highmark Blue Shield s medical management division, is responsible
Continuity of Care Guide for Ambulatory Medical Practices
Continuity of Care Guide for Ambulatory Medical Practices www.himss.org t ra n sf o r m i ng he a lth c a re th rou g h IT TM Table of Contents Introduction 3 Roles and Responsibilities 4 List of work/responsibilities
Integrated Healthcare Management (IHM) Overview
Integrated Healthcare Management (IHM) Overview MCO Case Management Presentations MCAC on June 24, 2015 Karen Dale, Market President Pillars of Our Strategy Care Management Care Coordination Care Customization
INDIAN HEALTH DIABETES BEST PRACTICE
INDIAN HEALTH DIABETES BEST PRACTICE Diabetes Self-Management Education (DSME) and Support Note! Please review the Best Practice Addendum, which provides the most current information on the Required Key
Welcome to Crozer-Keystone Health Network Primary Care
Welcome to Crozer-Keystone Health Network Primary Care A Guide to Your CKHN Patient-Centered Medical Home: What you can expect from us... What we will need from you......so you can gain the full benefits
How We Make Sure You Get the Best Health Care
How We Make Sure You Get the Best Health Care Table of Contents Quality Improvement... 1 Care Management... 2 Utilization Management: Working to Get You Covered and Necessary Care... 3 Behavioral Health...
Profile: Incorporating Routine Behavioral Health Screenings Into the Patient-Centered Medical Home
104 A LOOK TO THE FUTURE Profile: Incorporating Routine Behavioral Health Screenings Into the Patient-Centered Medical Home Background Management of chronic diseases can be challenging in primary care,
Alberta Health. Primary Health Care Evaluation Framework. Primary Health Care Branch. November 2013
Primary Health Care Evaluation Framewo Alberta Health Primary Health Care Evaluation Framework Primary Health Care Branch November 2013 Primary Health Care Evaluation Framework, Primary Health Care Branch,
Transition from Targeted Case Management (TCM) to Health Home Care Management and non-medicaid funded Care Management (CM)
Transition from Targeted Case Management (TCM) to Health Home Care Management and non-medicaid funded Care Management (CM) Interim Instruction: February 21, 2012 The New York State (NYS) Office of Mental
6. MEASURING EFFECTS OVERVIEW CHOOSE APPROPRIATE METRICS
45 6. MEASURING EFFECTS OVERVIEW In Section 4, we provided an overview of how to select metrics for monitoring implementation progress. This section provides additional detail on metric selection and offers
Grant ID 044360 Page 4 Medical University of South Carolina Implementation of TelASK Quit Connection IVR System in Charleston Area Hospitals
1. Overall Aim & Objectives: The goal of this project is to implement an evidence-based Tobacco Cessation Management System in all hospitals in the Charleston, South Carolina region. The system should
Dartmouth Medical School Curricular Content in Addiction Medicine for Medical Students (DCAMMS) Keyed to LCME Core Competency Domains ***Draft***
Dartmouth Medical School Curricular Content in Addiction Medicine for Medical Students (DCAMMS) Keyed to LCME Core Competency Domains ***Draft*** This content, sorted by LCME competencies is intended to
Six Key Elements are Defined in the Model. Health System. Organization of Healthcare. Delivery System Design. Productive Interactions
Change Package Care Model The Care Model: A unique and proven approach for implementing proactive strategies that are responsive to both patient and practitioner needs. Developed by Improving Chronic Illness
UnitedHealth Wellness SM
100_6168_305 3/10/05 7:46 PM Page 1 UnitedHealth Wellness SM Resources and tools to help you stay healthy. Feel Good. Be Healthy. Live Well. SM Portfolio of UnitedHealth Wellness Programs and Services:
Clinic Name and Location: 4. Clinic has specific written protocols or guidelines for treatment of TB:
TB Clinic Survey Form Clinic Name and Location: PATIENT POPULATION 1. Number of Patients eligible for initiation of TB Treatment: 2. Number of Patients Started on TB Treatment: 3. Number of these Patients
Employer-Sponsored Clinics & Telemedicine Onsite, Online, Anywhere!
Employer-Sponsored Clinics & Telemedicine Onsite, Online, Anywhere! Presented By: Todd Wolf General Manager QuadMed Evolution Expected Benefits Scope of Services Delivery Models Feasibility Accountability
APPENDIX C CROSSWALK OF PPC-PCMH-CMS STANDARDS AND ELEMENTS TO MEDICAL HOME CAPABILITIES BY TIER
APPENDIX C CROSSWALK OF PPC-PCMH-CMS STANDARDS AND ELEMENTS TO MEDICAL HOME CAPABILITIES BY TIER C.3 Table C.1. Crosswalk Between Tier Definitions (Table 2) and PPC-PCMH-CMS (Appendix B) PPC-PCMH-CMS
2016 Wellness Benefits and Incentive Rewards
Simple Steps to Living Well Together 2016 Wellness Benefits and Incentive Rewards Caring for Your Health Worldwide ACHIEVING AND MAINTAINING GOOD HEALTH IMPORTANT STEPS FOR YOUR WELL-BEING The FOREIGN
Healthy Living with Diabetes. Diabetes Disease Management Program
Healthy Living with Diabetes Diabetes Disease Management Program Healthy Living With Diabetes Diabetes Disease Management Program Background According to recent reports the incidence of diabetes (type
EU-WISE: Enhancing self-care support for people with long term conditions across Europe
EU-WISE: Enhancing self-care support for people with long term conditions across Europe Summary framework and study protocol for the EU-WISE intervention EUGENIE Project partners: SOTON UNWE UNAV UniO
POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk
POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk Julia Andrieni, MD, FACP Vice President, Population Health and Primary
Arkansas Behavioral Health Home State Plan Amendment. Draft - 03/11/14
Arkansas Behavioral Health Home State Plan Amendment Draft - 03/11/14 NOTE: Bolded text within document denotes required health home language by the Centers for Medicare and Medicaid Services (CMS) with
Patient-Centered Medical Home (PCMH) 2014
Patient-Centered Medical Home (PCMH) 2014 Part 1: Standards 1-3 All materials 2014, National Committee for Quality Assurance Agenda Part 1 Content t of PCMH 2014 Standards d and Guidelines Standards 1
Workflow and Process Analysis for CCC
Section 3.6 Design Workflow and Process Analysis for CCC This tool introduces the importance of workflow and process improvement in a community-based care coordination (CCC) program, describes the value
Passport Advantage Provider Manual Section 10.0 Care Management Table of Contents
Passport Advantage Provider Manual Section 10.0 Care Management Table of Contents 10.1 Model of Care 10.2 Medication Therapy Management 10.3 Care Coordination 10.4 Complex Case Management 10.0 Care Management
The Florida Department of Health in Broward County Addresses HIV Care Linkage, Retention, and Adherence
The Florida Department of Health in Broward County Addresses HIV Care Linkage, Retention, and Adherence Abraham Feingold, Psy.D. Florida Department of Health in Broward County Where We Work Where We Play
NCQA Standards Workshop Patient-Centered Medical Home PCMH 2011. Part 1: Standards 1-3
NCQA Standards Workshop PCMH 2011 Part 1: Standards 1-3 Agenda: Part 1 Overview Content of PCMH 2011 Standards 1 3 Documentation examples* * Examples in the presentation only illustrate the element intent.
Guide to Health Promotion and Disease Prevention
Family Health Teams Advancing Primary Health Care Guide to Health Promotion and Disease Prevention January 16, 2006 Table of Contents 3 Introduction 3 Purpose 3 Background 4 Developing Health Promotion
EHR-Enhanced QI: Insights from the NYC DOHMH experience The Primary Care Information Project
TITLE EHR-Enhanced QI: Insights from the NYC DOHMH experience The Joslyn Levy, BSN, MPH Dana Stephenson, MPH New York City Department of Health and Mental Hygiene PCPCC Presentation July 8th, 2010 AGENDA
Andrew C. Bledsoe, MBA, CHPA, PCMH CCE Executive Director. Northeast KY Regional Health Information Organization. www.nekyrhio.org
Andrew C. Bledsoe, MBA, CHPA, PCMH CCE Executive Director Northeast KY Regional Health Information Organization www.nekyrhio.org NCQA Program Setup Standards Six Standards Outline Program Elements Six
Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com
Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised
Frequently Asked Questions. Healthpointe Center
Frequently Asked Questions Healthpointe Center Q: What is the Healthpointe Center? A: The Healthpointe Center is a state-of-the-art onsite medical clinic, located at the Healthpointe Building on the Pleasanton
How are Health Home Services Provided to the Medically Needy?
Id: NEW YORK State: New York Health Home Services Effective Date- January 1, 2012 SPA includes both Categorically Needy and Medically Needy Beneficiaries- check box 3.1 - A: Categorically Needy View Attachment
Assessment of Primary Care Resources and Supports for Chronic Disease Self Management (PCRS)
Assessment of Primary Care Resources and Supports for Chronic Disease Self Management (PCRS) Individuals interested in using the PCRS in quality improvement work or research are free to do so. We request
The Commonwealth Fund International Health Policy Surveys
THE COMMONWEALTH FUND The Commonwealth Fund International Health Policy Surveys November 17, 2011 Robin Osborn Vice President and Director International Program in Health Policy and Innovation Commonwealth
Self-Management Support
Education & Training Curriculum on Multiple Chronic Conditions (MCC) Strategies & tools to support healthcare professionals caring for people living with MCC. Module 2 Self-Management Support Full citations
6/10/2010 DISCLOSURES - NONE INTEGRATING QSEN COMPETENCIES INTO NURSING EDUCATION
INTEGRATING QSEN COMPETENCIES INTO NURSING EDUCATION Brenda Zierler, PhD, RN, RVT University of Washington School of Nursing DISCLOSURES - NONE Brenda Zierler, PhD, RN, RVT University of Washington School
Wake County SmartStart ACTIVITY DESCRIPTION DEFINITIONS
Wake County SmartStart ACTIVITY DESCRIPTION DEFINITIONS These definitions are used in the full activity descriptions and are intended to establish consistency in their use in activity development, implementation
MODULE 11: Developing Care Management Support
MODULE 11: Developing Care Management Support In this module, we will describe the essential role local care managers play in health care delivery improvement programs and review some of the tools and
Making the Grade! A Closer Look at Health Plan Performance
Primary Care Update August 2011 Making the Grade! A Closer Look at Health Plan Performance HEDIS (Healthcare Effectiveness Data and Information Set) is a set of standardized measures designed to track
MedStar Family Choice (MFC) Case Management Program. Cyd Campbell, MD, FAAP Medical Director, MFC MCAC June 24, 2015
MedStar Family Choice (MFC) Case Management Program Cyd Campbell, MD, FAAP Medical Director, MFC MCAC June 24, 2015 Case Management Program Presentation Overview CM Programs Disease Management Complex
An Integrated, Holistic Approach to Care Management Blue Care Connection
An Integrated, Holistic Approach to Care Management Blue Care Connection With health care costs continuing to rise, both employers and health plans need innovative solutions to help employees manage their
Integrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral
Integrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral Health Provider Sunshine Community Health Center Why Integrate?