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Care Coordination as a Model of Care

Date & Time of Recording:
November 1, 2020 | Self-paced
  • On-demand video
Registration Fee:
View flyer (PDF)
Additional Details
Instructional Hours:
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The goal of care coordination is high-quality referrals and transitions that meet the six Institute of Medicine "Quality Chasm" aims for high-quality health care, and assure that all involved providers, institutions and patients have the information and resources they need to optimize a patient’s care. The Model looks at care coordination from the perspective of a patient-centered medical home (PCMH). It considers the major external providers and organizations with which a PCMH must interact—medical specialists, community service agencies, and hospital and emergency facilities—and summarizes the elements that appear to contribute to successful referrals and transitions. Those elements include: Assuming accountability, Providing patient support, Building relationships and agreements among providers (including community agencies) that lead to shared expectations for communication and care. Developing connectivity via electronic or other information pathways that encourage timely and effective information flow between providers (including community agencies

Keywords: care coordination transitions Quality Chasm quality health care patient-centered medical home (PCMH)


At the completion of this activity, participants will be able to:

  • Identify strategies to address barriers within multidisciplinary teams.
  • Compare and contrast the benefits and challenges to integrating multidisciplinary teams into a care coordination model.
  • Develop strategies to building and sustaining effective multidisciplinary teams.
The Rural Communities Opioid Response Program (RCORP) is a multi-year initiative supported by the Health Resources and Services Administration (HRSA) to address barriers to access in rural communities related to substance use disorder, including opioid use disorder. Disclosure Statement: Upstate AHEC’s conflict of interest policy requires faculty and all persons directly involved in the planning of this program to disclose any real or apparent commercial financial affiliations related to the content of this presentation or materials. The speaker(s), the planning committee members, and all others in a position to control this activity have signed a vested interest form declaring no conflict of interest in this activity. Provision of this education activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity. Credit Requirements: To receive CE credit for completing this online course you must complete 100% of the material, receive at least 80% passing grade on post-test and complete the evaluation. Once you pass the post-test and complete the evaluation you will be able to print a certificate for verification of credit.
Credits Available
  • Social Workers
    SC Board of Social Work Examiners
    Credit Statement
    This program is approved for 1 social work hours of continuing education by Upstate AHEC, a part of the South Carolina AHEC system, as defined by the South Carolina Board of Social Work Examiners.
  • Registered Nurses
    American Nurses Credentialing Center
    Credit Statement
    Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. Upon successful completion of this program, attendees will receive 1 contact hours.
  • LPC
    SC Board of Examiners for Professional Counselors
    Credit Statement
    This program is approved for 1 hours of continuing education by Upstate AHEC, a division of SC AHEC, under its accreditation by the South Carolina Board of Examiners for Licensed Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists.
  • All other participants
    Area Health Education Consortium
    Credit Statement
    This program provides 0.1 CEUs by Upstate AHEC and meets South Carolina AHEC Best Practice Standards.
Locations/Participation Options

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