Module 6: Laying the Groundwork for Care Coordination
Video: Laying the Groundwork for Care Coordination (1:00:12)
Slides: Laying the Groundwork for Effective Care Coordination (PDF, 1.4 MB)
Implementation Guide: Laying the Groundwork for Effective Care Coordination (PDF, 484 KB)
This module demonstrates the broad reach of care coordination. It gives guidance on assessing current care coordination and provides direction on redesigning care coordination processes to make them more effective.
Topics covered in this module include:
- An overview of care coordination and its application to cardiac rehab.
- Defining a completed referral.
- Understanding the characteristics of the population to better meet patient needs and concerns.
- Assessing current care coordination to identify gaps and opportunities.
- Setting priorities and planning for changes in care coordination.
Suggested Audience
The target audiences for this session include:
- The CR QI team
- Non-team cardiac clinicians
- Discharge planners
- Care coordinators
- Hospital leadership
It is important to note that the audiences listed above are a suggestion rather than a limitation. All are welcome to watch and review the module.
Learning Objectives
Upon completion of this module, attendees should be able to:
- Explain why implementing effective care coordination benefits CR patients.
- Assess the effectiveness of current care coordination workflow processes for inpatient CR to outpatient CR, especially the transition between the two settings.
- Understand how to establish priorities for enhancing care coordination to better meet patient needs to improve enrollment and participation in CR.
Speaker Bios
Memorial Hospital of Carbondale
Riverside Radiology & Interventional Associates
Provide feedback on this training module at TAKEheart@abtassoc.com.
Related Resources
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
Genesis Healthcare System. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Open Gym Concept. Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Cardiac Rehab Open Gym. Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Use Clinician Follow-up to Bolster Enrollment. Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
American Association of Cardiovascular and Pulmonary Rehabilitation. . Accessed August 31, 2021.
