Title Care coordination and transition management : core curriculum / editors, Sheila A. Haas, Beth Ann Swan, Traci S. Haynes

Edition First edition Published Pitman, NJ : AAACN, American Academy of Ambulatory Care Nursing, [2014] ©2014

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Description 1 online resource (xiv, 216 pages) : illustrations Contents Introduction -- Advocacy -- Education and engagement of patients and families -- Coaching and counseling of patients and families -- Patient-centered care planning -- Support for self-management -- Nursing process (proxy for monitoring and evaluation) -- Teamwork and collaboration -- Cross-setting communications and care transitions -- Population health management -- Care coordination and transition management (CCTM) between acute care and ambulatory care -- Informatics nursing practice -- Telehealth nursing practice Summary The core text covers 13 dimensions, competencies, and activities. One chapter is dedicated to the transition from acute care to ambulatory care and the critical nature of hand-offs in ensuring patient safety and quality of care. Two chapters are devoted to technologies that provide decision support and information systems for all dimensions of care coordination and transition management: one focused on informatics and one focused on telehealth nursing practice. The text is evidence based and is organized to include definitions, learning outcomes and objectives, a table of knowledge, skills, and attitudes (KSAs), and nationally recognized core competencies for quality and safety education for nurses (QSEN), inter-professional collaborative practice, and public health nursing competencies. The text is written for nurses in all settings; from ambulatory care to hospitals, extended care facilities to student nurses Bibliography Includes bibliographical references and index Notes Print version record Subject Nursing care plans -- Outlines, syllabi, etc Hospitals -- Case management services -- Outlines, syllabi, etc Health services administration. Patient-centered health care. Nursing. Patient Care Management Health Services Administration Patient Care Management -- methods Nursing Patient-Centered Care Nursing Care nursing (health science) MEDICAL -- Nursing -- Medical & Surgical. MEDICAL -- Nursing -- Reference. Patient-centered health care Nursing Health services administration Hospitals -- Case management services Nursing care plans Genre/Form outlines (documents) Outlines and syllabi Outlines and syllabi. Résumés et programmes. Form Electronic book Author Haas, Sheila A., editor. Swan, Beth Ann, 1958- editor. Haynes, Traci S., editor American Academy of Ambulatory Care Nursing, issuing body. ISBN 9781940325316 1940325315 9781940325040 1940325048

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