Certificate Program in Integrated Care Management

Spring 2015 Schedule   Registration Deadline Jan. 20, 2015 Registration now Open for Spring '15

The training program consists 10 sessions of two hours each. It is offered as a live on-line program to allow interaction between presenter and participants.

The Patient Centered Medical (or Healthcare) Home is sweeping the nation. It holds out the promise of being able to bring the proven individual and population health benefits of primary care to many more people by making primary care more comfortable and convenient for patients, by teaching teamwork so that physicians and other primary care providers will be less overwhelmed at work, and by allowing payment to reward the provider and support the team by including a portion of the proven savings in overall cost in the pool for compensation.

Care management is a crucial part of the PCMH. It is the role that can change a passive health system that waits for the client/patient to be involved into an active and engaging health system. When the system is more engaging, patients are more likely to be engaged to improve their health. CM is central to the success of the PCMH. Care Management can be targeted at people coping with chronic illnesses that put their health and/or social functioning at risk. Chronic illnesses are sometimes defined as "physical" like diabetes, or "mental" like schizophrenia and substance abuse, but for the purposes of this definition, we will call them all "chronic illnesses". Expertise in both the care management tasks of the healthcare world and the mental health world is necessary to do the job.

In practice, Care Management, the active outreach to engage patients/clients and help them use services, is particularly applicable in situations where the engagement between the person and the health system is likely to fail: transitions of care, barriers to access, poor fit between the person’s social skills or medical understanding and the level of either required to maintain health or to access care.

To be successful, Care Managers need to develop general skills at engaging patients, promoting their activation to improve their own health, and general medical and behavioral health skills to be able to connect them to appropriate services, to address questions, to teach healthy living and support treatment plans.

Below are the topics of the modules.  

Session 1:

  • Care Managers and Navigators in the Patient Centered Medical/Healthcare Home
  • The Role of the Care Manager

Session 2:

  • Improving the Experience of Patients in the Healthcare Home
  • Fostering Motivation and Patient Activation

Session 3:

  • Fostering Shared Decision Making between Patients/Clients and Professionals
  • Team approaches to care, what we need to know to work together

Session 4:

  • Evidence Based Protocols, Depression Care Management
  • Resources and Working in the "Healthcare Neighborhood"

Session 5:

  • Successfully caring for the Homeless Patient
  • Care managing for Geriatric Populations

Session 6:

  • Working with Unhealthy Substance Use
  • Understanding and Helping People with Chronic Pain

Session 7:

  • Trauma Informed Care
  • Crisis Intervention

Session 8:

  • Diabetes + Heart Disease 101
  • Controlling weight and supporting exercise for health living

Session 9:

  • Smoking Cessation, What a care manager can do
  • Group Programs for Healthy Behavior

Session 10:

  • Motivational and Solution Focused Interviewing, Reprise
  • Culturally Competent Care