Care Transitions

These modules help you develop interpersonal skills with your clients through content such as promoting positive behavior change or advanced care planning. The modules also help you develop the 'business case' for nursing in primary care with content such as managing panels, assessing and stratifying risk, and exploration of billing appropriate for nurse-led encounters. Each module is fully online and takes 3-4 hours for participants to complete. Progress through a module begins with a short demographic survey, followed by videos and readings, a 10 point content quiz, and an exit survey. Successful completion is earned by an 80% or higher quiz score and completion of an exit survey. Each module is awarded nursing contact hours and documentation of the hours and completion via a digital badge.

Objectives:

1. Identify key components of care transitions
2. Identify patient and family/caregiver support needs during care transitions
3. Identify potential barriers and problems associated with care transitions
4. Identify appropriate billing codes and billing regulations for care transitions