Care Management Approach for People Who Are at High Risk

June 11, 2013

Care coordination and care management are important roles for care managers in primary care homes.  Successful care managers must develop their skills related to patient education, self-management techniques and be able to successful connect a patient to other parts of the health care system.

This webinar:
  1. Focuses on how care managers assess at-risk patients; identifying barriers to adherence; teaching patients with multiple chronic diseases to organize, prioritize, and implement suggested self-management strategies
  2. Explains how care managers help patients navigate the health care system to coordinate resources to ensure that necessary services are provided at the most appropriate level of care and at the appropriate time
  3. Discusses how to individualize interventions to focus on prevention, wellness and independence

Please note: A majority of this presentation was adapted from a presentation delivered December 2012 through the Comprehensive Primary Care Initiative (CPCI).

 

Presented By:

Ann Larsen RN, CDE
Care Manger - Herefordshire Clinic

Ann has been an RN Care Manager with Intermountain Health Care in a primary care setting for more than 15 years.  In addition she has also worked in home health, inpatient quality and case management, and rehab case management.  She has participated in programs evaluating the impact of care management in primary care and in pilot programs to integrate mental health services in primary care.   She has presented on the topic of care management at American Association of Diabetes Educations (AADE) and Case Management Society of America (CMSA) national conferences.  Finally, since 2006 Ann has taught care management roles and responsibilities to care managers from health care organizations across the country as part of Care Management Plus, a cooperative project between the Oregon Health & Science University and The John A. Hartford Foundation working to improve the quality of care for seniors and patients with chronic illnesses using care managers and information systems.

 

Links

Resources referenced during the presentation:

Care Management +

Care Management + is a cooperative project between the Oregon Health & Science University and The John A. Hartford Foundation with the mission to improve the quality of care for seniors and patients with chronic illnesses using care managers and information systems.

Relationship Competence Training (RCT)

Referred to in the webinar as "family pattern profiles," Ann shared that this framework for assessing a family's ability to provide support greatly influenced her care management style

Filed In:

  • Care Coordination
  • Comprehensive Care
  • 5.C) Complex Care Coordination
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Slides-Care Management Approach1.5 MB