Curriculum & Modules

Describe the factors shaping care management, including the Institute for Healthcare Improvement’s triple aim and the Affordable Care Act. Explain benefits and steps to implement value based care in clinical practice.

Describe models of successful care management strategies including empanelment and risk stratification. Explain the effective use of data warehousing and dashboard tools, and the use of data for continuous quality improvement.

Identify and describe strategies for care management, including Self-Determination Theory, motivational interviewing, and helping patients with self-management.

Describe major social determinants of health and how they impact health outcomes. Describe how an awareness of health literacy and development of cultural humility can improve health outcomes in diverse communities.

Describe the nurse’s enhanced role on the primary care team as they collaborate to manage complex chronic illness. Describe evidenced based practices for patient education, including the selection of appropriate educational materials appropriate to a range of health literacy levels.

Describe models of successful care management strategies including empanelment and risk stratification. Explain the effective use of data warehousing and dashboard tools, and the use of data for continuous quality improvement.

Apply evidence-based practices to plan transitions of care for patients with a variety of health care needs.

Describe principles of best practice for interprofessional teamwork, communication, and leadership and discuss how the TeamSTEPPS framework can support development of the skills needed to perform successfully in interprofessional teams.

Describe the nurse’s enhanced role on the primary care team as they collaborate to manage organizational change with the goal to achieve population health transformation.

Identify and describe strategies to continually develop as a professional care manager, including reflective practice, ethical conduct, certification, and stress management.