Improving Patient Outcomes with Cost of Care Conversations in the Clinical Practice

This learning module seeks to address the TCPi Drivers, specifically targeting Patient and Family Engagement and Continuous, Data Driven Quality Improvement as effective drivers that benefit from an improved cost of care conversation. Through examination of relevant studies and research-based models, participants will gain an understanding of how to advance cost of care conversations in the practice setting to improve patient outcomes. The learning module will include practical tools that participants will be able to employ with their practice, as well as identify behaviors to model in order to best support team members in cost of care conversations.


Learning Objectives:

At the conclusion of this module, participants will:

  • Explain how the integration of cost of care conversations are increasingly important in improving patient care.
  • Describe how to pro-actively have a cost of care conversation with patients using and other tools.
  • Discuss how to implement cost of care conversations within their practice.
  • Identify ways to use the practice team in the clinical workflow to incorporate cost of care conversations.
  • Understand and be able to apply skills to address key concepts in the TCPi Change Package targeting Patient and Family Engagement and Continuous, Data Driven Quality Improvement drivers.

Module Resources:

Click here to access the resources and tools provided in the module.


Intended Audience:

This activity is designed to meet the educational needs of practicing health care providers & practice teams needing or desiring to build or improve their communication skills to support cost of care conversations with patients to improve outcomes

Module Structure:

This learning module will be asynchronous and self-paced in structure.  Estimate time to complete will be 2 hours.  It is intended that this module will be eligible for CME credits.  The module will consist of 6 units and will contain the following elements

  • Hyperlinks to readings, videos, web resources and tools
  • Video lessons
  • Case study activity
  • Pre & post assessment

Duration & Fee:

  • Estimated Time to Complete: 2 hour (2 hours for those seeking CME credits)
  • CME Credits Offered: 2.0
  • Registration Fee: FREE for NNE-PTN Members

Hardware/Software Requirements:

  • Computer with Internet connection
  • Current version of Chrome, Firefox or Safari browser. You must have javascript enabled.
  • The quiz tool within the online modules are not fully compatible with smartphones or tablets. In order to avoid issues, such as answers not being recorded, we recommend using a computer to complete the pre- and post-tests.

Assessment and Grading:

This learning module begins with a Pre-Test that will test your knowledge and allow you to gauge your baseline understanding of the topics to be covered. Your pre-test score will not count toward your overall grade. At the end of the module, there is a Post-Test that will determine your final grade. A comparison of your Pre-Test score and Post-Test score will help to assess how much knowledge you’ve gained. You will have two attempts to complete the Post-Test. Your score must be 75% or better in order to receive a certificate for CME credit.

Please complete the evaluation survey at the conclusion of the learning module.

To Obtain CME Credits:

  • Complete the entire learning module.
  • Complete the Pre-Test, Post Test, and Evaluation Survey at the end of the module.
  • You must earn a score of 75% or higher on the Post-Test in order to qualify for CME credits. You will have three attempts to complete the Post-Test.
  • After confirming that the entire learning module is complete and you have received a score of 75% or higher on the Post-Test, your certificate of completion will be generated and available for you for download.
  • A CME Documentation Form will be emailed.

Table of Contents:

  • Course Introduction (Orientation)
  • Test Your Knowledge (Pre-Test)
  • Unit 1: Introduction to Improving Patient Outcomes with Cost of Care Conversations in the clinical Practice
  • Unit 2: Principles and Values
  • Unit 3: Introduction to COC/CW
  • Unit 4: Tools and Best Practices
  • Unit 5: Compare Maine overview and how it works
  • Unit 6a: Case Study #1
  • Unit 6b: Case Study #2
  • Course Wrap Up (Post-test and Evaluation Survey)

This activity has been planned and implemented in accordance with the Essentials and Standards of the Maine Medical Association Committee on Continuing Medical Education and Accreditation through the partnership of Maine Medical Education Trust and Qualidigm.  The Maine Medical Education Trust is accredited by the Maine Medical Association to provide CME activities for physicians.


The following planners, speakers and authors have indicated that they have no relationships with industry to disclose relative to the content of this activity:

Kellie Slate Vitcavage, MS (Presenter)
Program Manager

Contact Information:

If you are having technical problems (video freezes or is unplayable, can’t print your certificate of completion, etc.) you can submit a Help Request ( to the Learning Lab Team. If you have questions related to CME credit and requirements (Pre and Post-test) or course content, please email



This learning module is supported by Grant Number 1L1CMS331446-02-00 from the U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

Support for the Cost of Care Conversations online learning module was also provided in part by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

  • FREE
  • Course Certificate