Introduction of Team-Based Care & Optimizing the Impact of the Roles of Care Managers & Coordinators
Provider Delivered Care Management and Care Coordination support the concepts of the Patient Centered Medical Home. Together, the roles of care manager and care coordinator partner with the practice care team to; effectively empower patients and their families, engage patients in self-management and health behavior change, positively affect patient self-care practices and decision-making, provide comprehensive assessment and care planning using shared decision making, implement evidence based interventions and advocate for the right care, at the right time and in the right place.
Care managers and care coordinators prepared in advanced care coordination roles, work across all care settings from hospital, to clinic, to home and are well positioned to connect patients, providers and services to assure that care is coordinated, safe and truly patient-centered. They are part of the patient’s medical home care team and work collaboratively to prioritize patients in need of specialized care coordination services.
Care manager and care coordinator roles may include enhanced discharge planning, holistic support and assessment of social determinants of health, improved internal patient transfers and external transfers to other facilities or to home, and knowledge of psychosocial changes that impact patient care options.
Care managers and care coordinators conduct face-to-ace partnerships with patients most in need of targeted care, including high risk patients and those who utilize expensive services. This role differs significantly from traditional case manager roles that are focused on telephonic communication, utilization review and resource management.
Care managers and care coordinators enrolled in the Michigan Center for Clinical Systems Improvement (Mi-CCSI) Team-Based Self-Management training program will be introduced to the essential knowledge and skills needed to fill emerging roles and be prepared to practice as members of a multidisciplinary health care team.
We provide a blended learning format including 8 hours of self-study, web-based training followed by 2 days of onsite face-to-face learning. The face-to-face learning incorporates input and learning from fellow attendees and our content expert training facilitators. We place an emphasis on interaction and application including simulation. The simulation experience is comprised of a live in-person or telephonic interview with a standardized patient that incorporates role playing, case study and scenario setting application.
Courses are fully vetted with care management leaders and training attendees and curricula are co-developed, modified and taught by experienced faculty.
RN’s, MSW’s, NP’s, PA’s, MA’s and CHW’s new to care management or care coordination and current care managers or care coordinators seeking to expand knowledge to work as part of a valued team member in PCMHs, ACOs, and or transitional care roles
State Innovation Model (SIM) Support:
Mi-CCSI is an approved self-management training provider.
At this time, we have limited state funding available for attendees who are from SIM affiliated practices and will be working with SIM affiliated patients. All SIM participants are required to be verified and to have attestation forms signed by his/her manager or PO leadership.
PLEASE NOTE: As per page 28 of the SIM PCMH Care Delivery Participation Guide, Care Managers or Coordinators who have previously completed self-management training with an approved vendor already meet the requirement for SIM PCMH purposes. SIM PCMH Initiative training funding is reserved for Care Managers and Coordinators who are new in their roles or who have not already completed self-management training.
Contact Amy at 616-551-0795 ext. 11 or firstname.lastname@example.org for questions or more details.
MI Care Team Health Centers*:
MPCA will reimburse Mi-CCSI for MI Team Health Center attendees. *MI Team Health Centers include: Advantage Health Centers, Cherry Health, Covenant Community Care, Inc., Family Health Center, Inc., Family Medical Center of Michigan, Genesee Community Health Center, Great Lakes Bay Health Centers, The Wellness Plan Medical Centers, Thunder Bay Community Health Services, Inc., Upper Great Lakes Family Health Center
Commercial Payer Incentives (Blue Cross Blue Shield Of Michigan & Priority Health):
This training meets the requirements for the Priority Health care management incentive and the self-management training component for Blue Cross Blue Shield of Michigan Provider Delivered Care Management value-based reimbursement. For care managers attending to meet and support commercial payer incentives, attendee fees are based on Mi-CCSI member affiliation. Attendee fees may be paid by PayPal during registration or billed to the organization or practice site.
Rates: $200 members; $300 non-members
PLEASE NOTE: Starting July 1, 2018, our rates will increase to $325 members; $450 non-members
Not sure if your organization is a member? Click over to our About page to see a list of member organizations. Still not sure? Call us at 616-551-0795 x11.
Continuing Education Credits
This continuing nursing education activity was approved for 13.5 contact hours by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American nurses credentialing center’s commission on accreditation. Approval valid through 03-07-2020 ONA # 21513
This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers (CCMs). The course is approved for 14 contact hours.
This course is approved by the Michigan Social Work Continuing Education Collaborative for 13 contact hours.
Course Approval Number: 032017-03
Registered or certified medical assistants can submit copies of their agendas and certificates of completion to their certification entity to obtain continuing education credits.
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If you have questions, call (616) 551-0795 ext. 11