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SUMMARY:CCE Quarterly: Strategies to Improve Transitions of Care
DESCRIPTION:About this Webinar Training\n\nCost: $99.00\nCCE Quarterly: 
 Implementing Strategies to Improve Transitions of CareA 
 fundamental tenet of the medical home is coordination of 
 care across the landscape of a patient's care journey--this 
 is particularly critical during transition between sites of 
 care\, such as from hospital to home. PCMHs excel at building 
 clear and open communication among patients and families\, 
 the medical home and members of the broader care team 
 (https://pcmh.ahrq.gov/page/defining-pcmh). They also focus 
 on the exchange of information between providers and between 
 the practice and other care settings\, for patient safety and 
 to ensure that clear communication processes are in place so 
 patient needs are addressed promptly and efficiently. 
 Avoiding duplication of services with comprehensive\, 
 coordinated patient care moves the practice in the direction 
 of the high-quality\, cost-effective outcomes sought by 
 patients and payers alike.\nJoin NCQA faculty and an NCQA 
 2020-2021 CCE Quality Award Winner for a review of key 
 strategies that can improve transitions of care and a 
 discussion of NCQA's PCMH Care Coordination standards\, 
 causes of ineffective care transitions and best practices 
 for building a care transitions program and improving 
 overall care management.. This webinar will also review case 
 studies and examples of successful care transitions 
 implemented by organizations in multiple settings including 
 rural and urban\, large organizations and solo 
 practices.\n  What You Will Learn\n\nAt the conclusion of 
 this course\, participants will be able to :\nDescribe the 
 Intent Behind the Transition of Care Criteria.Answer Common 
 FAQs for CC 14-19Understand Transitions of Care from a Deep 
 Dive Study.Who Should Attend\n\nCCE's.Consultants.Primary 
 Care Teams.Practice Managers. Health 
 Plans.Physicians.Nurses.PAsFaculty\n\nJennifer Anglin\, MS\, 
 CHES\, PCMH CCEJennifer Anglin is a Manager of Recognition 
 Policy at NCQA. Her responsibilities include creation and 
 maintenance of PCMH resources and providing support to 
 practices going through transformation or annual review. 
 Prior to NCQA\, Jennifer worked for Purdue University by 
 assisting practices throughout the state of Indiana on 
 quality improvement and research projects as well as 
 supporting them to meet Medicaid's Promoting 
 Interoperability program and Medicare's MIPS program. 
 Jennifer's professional interests include health policy\,\, 
 research\, and education. She has a particular interest in 
 social determinants of health and the behavioral health 
 aspect of Patient-Centered Medical Homes.\nJennifer holds a 
 BA in secondary education from Valparaiso University and a 
 master's degree in health science from Indiana State 
 University. Jennifer is a Certified Health Education 
 Specialist and has been an NCQA Patient-Centered Medical 
 Home Certified Content Expert (PCMH CCE) since 
 2013.\n  Bonni Brownlee\, PCMH CCE\, MHA CPHQMs. 
 Bonni Brownlee is a healthcare management professional with 
 over 25 years of experience in health program development\, 
 clinical operations\, and performance improvement. For the 
 past 14 years\, Bonni has focused her attention on clinical 
 practice transformation\, providing expertise in practice 
 redesign and evolution towards the Patient-Centered Medical 
 Home (PCMH) model of care to countless primary care 
 associations\, clinical practices\, health systems and health 
 plans. Bonni was a member of the TransforMED faculty for 
 the first documented medical home initiative (the National 
 Demonstration Project)\, coaching 18 family practice teams on 
 practice redesign strategies to improve access\, efficiency\, 
 and quality. Bonni directed The Commonwealth Fund's Safety 
 Net Medical Home Initiative in its first two years\, then 
 served as advisor to the Qualis Health leadership team as 
 well as a field consultant to the 65 participating clinics 
 on their journey towards becoming high functioning medical 
 homes. In addition to her work in clinical practice 
 transformation\, Bonni provides clinic operations expertise 
 to HIT strategic planning\, EHR system selection and 
 implementation\, electronic referral systems\, telemedicine 
 programs\, and community-wide health information exchange 
 initiatives.\nMs. Brownlee has supported over 250 primary 
 care practices in their applications for NCQA PCMH 
 recognition\; she is also an NCQA-contracted PCMH application 
 evaluator. She served on the advisory panel for The Joint 
 Commission in the development of their Primary Care Home 
 (PCH) standards which accompany the Ambulatory Care 
 accreditation package and has trained many FQHCs on Joint 
 Commission standards for ambulatory and laboratory services. 
 Bonni has additionally served on multiple task forces and 
 advisory panels in applied research on primary care quality 
 improvement methodologies\, including practice 
 coaching.\nBonni currently supports hospitals and health 
 systems in clinical transformation through the national 
 Medicaid redesign program known as DSRIP - Delivery System 
 Redesign Improvement Program. In addition\, her consulting 
 role supports strategic planning\, program development\, 
 integrated care design and implementation. She is leading 
 several regional collaboratives on care transitions\, 
 synthesizing inpatient and outpatient care to provide 
 seamless\, high quality care to patients as they transition 
 between care environments.\nMs. Brownlee has a master's 
 degree in healthcare administration from the University of 
 San Francisco and carries the CPHQ (Certified Professional 
 in Healthcare Quality) credential. She has earned the PCMH 
 CCE (Certified Content Expert) credential from the National 
 Association for Quality Assurance (NCQA). She has a clinical 
 background in medical technology. Ms. Brownlee is a 
 2020-2021 PCMH CCE Quality Award Winner.\n Continuing 
 Education\n\n\nIn support of improving patient care\, the 
 National Committee for Quality Assurance is jointly 
 accredited by the Accreditation Council for Continuing 
 Medical Education (ACCME)\, the Accreditation Council for 
 Pharmacy Education (ACPE)\, the American Nurses Credentialing 
 Center (ANCC) to provide Interprofessional Continuing 
 Education for the healthcare team. \nThis activity was 
 planned by and for the healthcare team\, and learners will 
 receive 1.0 Interprofessional Continuing Education (IPCE) 
 credit for learning and change. \nThis educational activity 
 is approved for: 1.0 AMA PRA Category 1 CreditTM.\nThis 
 educational activity is approved for 1.0 nursing contact 
 hours.*\nThis live course grants 2.0 required Continuing 
 Education Unit (CEU) points for PCMH Certified Content 
 Experts.  \n* Please note – You must attend the entire 
 program to be eligible for total number of contact 
 hours.\nDisclosure of Relevant Financial RelationshipsThe 
 National Committee for Quality Assurance (NCQA) endorses the 
 Standards of the Accreditation Council for Continuing 
 Medical Education which specify that sponsors of continuing 
 medical education activities and presenters at and planners 
 for these activities disclose any relevant financial 
 relationships either party might have with commercial 
 companies whose products or services are discussed in 
 educational presentations.\nFor sponsors\, relevant financial 
 relationships include large research grants\, institutional 
 agreements for joint initiatives\, substantial gifts\, or 
 other relationships that benefit the institution.  For 
 presenters or planning committee members\, relevant financial 
 relationships include the receipt of research grants from a 
 commercial company\, consultancies\, honoraria\, travel\, or 
 other benefits\, or having a self-managed equity interest in 
 a company\; or having an immediate family member or partner 
 with such a relationship.\nDisclosure of a relationship is 
 not intended to suggest or condone bias in any presentation 
 but is made to provide participants with information that 
 might be of potential importance to their evaluation of a 
 presentation.\nRelevant financial relationships exist with 
 the following companies/organizations:\nFaculty:\nJennifer 
 Anglin: None\nBonnie Brownlee: None\nAdditional Planning 
 Committee Member:\nCaroline Blaum: None\nTracelyn Thigpen: 
 None\nAshley Turner: None\nThis program was developed in 
 part by NCQA staff.\nThis program received no commercial 
 support.\n
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