Certificate Program in Integrated Care Management

 

Curriculum

Care Management in the Patient Centered Medical/Healthcare Home

Learning Objectives:

  • Describe the role of care management in the PCMH
  • Describe the common medical and behavioral health needs of people with chronic illness

Creating and Using Effective Patient Centered Care Plans

Learning Objectives:

  • Describe ways to make care plans a useful tool for effective patient care
  • Describe how to engage patients and providers in creating and maintaining care plans
  • Identify ways to work care plans into clinic work flows

Fostering Patient Engagement

Learning Objectives:

  • Describe steps to enhance patient engagement in their care
  • Describe the characteristics of shared decision making
  • Discuss how health literacy fits into patient activation and shared decision making

Networking in the Medical Neighborhood: Extending Care Management Beyond the Health Center

Learning Objectives:

  • Describe how to identify patient resources in their community
  • Create a plan for establishing relationships with community organizations to foster successful referrals
  • Create a plan for fostering collaborative care with community resources

 Effective Use of Registries to Improve Patient Care

Learning Objectives:

  • List ways to identify high risk patients
  • Describe considerations for using registries to monitor patient and practice progress
  • Use registry data to conduct out reach for preventative care and high risk management

Working With Older Patients: Healthy Seniors to End of Life

Learning Objectives:

  • Describe the role of Care Manager when working with healthy and declining elders
  • Describe effective communication with elders
  • Examine common geriatric health problems and their impacts on the patient and others

Smoking Cessation, What a Care Manager Can Do

Learning Objectives:

  • Describe the role of Care Managers in tobacco dependence treatment
  • Assess and enhance readiness for change
  • Describe pharmacological and behavioral interventions for smoking cessation
  • Monitor progress and reduce the impact of relapses 

Heart Disease 101

Learning Objectives:

  • Review the types and pathology of cardiovascular disease (CVD)
  • Identify cardiovascular symptoms that require immediate attention
  • Describe evidence-based behavioral interventions for cardiovascular disease

 An Introduction to Motivational Interviewing for Care Managers

Learning Objectives:

  • Name and utilize the four processes of MI (engaging, focusing, evoking, planning) to support patients effort
  • List the 4 primary MI skills and describe how to use them when working with patients who feel ambivalent

Diabetes Care: What Everyone Needs to Know

Learning Objectives:

  • Describe the outcome measures for diabetes
  • List the self-care requirements for diabetes patients
  • Describe effective behavioral interventions to help patients with diabetes stay adherent to treatment

Helping Patients Achieve Healthy Lifestyles for Weight Reduction

Learning Objectives:

  • Understand 5 simple messages to share with patients about losing weight
  • Identify resources and tools available for weight loss
  • Identify and address barriers to increased activity and healthy eating

Care Management for Children and Their Families

Learning Objectives:

  • List pediatric health conditions with behavioral health concerns
  • Identify appropriate resources for families
  • Navigating situations of mandated reporting

The Care Manager’s Role in Care for Patients with Acute Trauma and PTSD

Learning Objectives:

  • List empirically supported assessments and interventions for trauma
  • Provide basic education to patients and staff on the association between PTSD and health problems
  • Understand helpful approaches to patients with trauma histories in primary care

 Identifying and Managing Mental Health Crises

Learning Objectives:

  • Execute steps to take in an urgent situation, including accessing resources
  • Assess and respond to crises including suicidality, homicidal threats and fears of imminent harm in abusive relationships

Successfully Caring for Patients with Serious and Persistent Mental Illness

Learning Objectives:

  • Describe the considerations for working with patients with SMI
  • Explain the unique health issues for patient with SMI
  • Describe Care management interventions for health behavior change with patient with SMI

Care Management for Patients with Housing Insecurity

Learning Objectives:

  • Describe approaches to facilitating self-efficacy and engagement in this population
  • List the barriers to Care Management for homeless populations and ways to address these barriers

Understanding and Helping People with Chronic Pain

Learning Objectives:

  • Describe the relationship between stress and pain in approachable ways to patients and providers
  • Describe and list brief interventions, including behavioral cognitive and relaxation approaches, to improve pain coping

Working with Unhealthy Substance Use

Learning Objectives:

  • Describe and educate providers on unhealthy substance use as a chronic illness
  • List and use conversational and form based screens for unhealthy substance use as a chronic illness
  • List the elements of making successful referrals for USU

Behavior Change For Chronic Illness Management

Learning Objectives:

  • Work with patients to develop self care goals
  • Use solution focused approaches to help patients find their own solutions—
  • Use behavior chain analysis to identify and target barriers to health behavior change

 Working With and Caring For Caregivers

 Learning Objectives:      

  •  List the emotional and physical health risks of caregiving
  • Describe resources available to caregivers
  • Provide education on self care to care givers

 NOTE:  Additional Coming Attractions Include

Team Approaches to Care: What We Need to Know to Work Together

Learning Objectives:

  • Describe the characteristics of effective teams
  • Describe ways to foster effective communication between the patient and members of the care team
  • Describe ways to address communication challenges (e.g. language barriers, varied communication styles, and role clarity confusion) among team members

 

Understanding the Experience of Patients in the Healthcare Home

Learning Objectives:

  • List the most common barriers that the health system presents
  • Use positive relationships to improve the patients' experience with the team as a whole

Evidence Based Protocols for Depression Care Management

Learning Objectives:

  • Design and implement a screening protocol, including recommendations for appropriate level of care for depression
  • Describe evidence-based, longitudinal care management protocols for treatment of depression

 

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