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“Does our work align with patient
preferences and goals?”

Patient and family-centered care design allows the practice to combine the evidence base with the voice of the patient and family. It allows the practice to tailor care delivery to meet the needs of individual patients and the entire population served. Through the coordinated efforts of an expanded care team, in partnership with patients, families, and community, the practice can promise results.

Transforming Clinical Practice Initiative Driver focuses on tactics that address these types of questions:

  • “Do our teams reflect the respect and collaboration we commit to create with our patients? 
  • “Have we defined the roles and skills we need in our team to provide patient-centered care?”
  • “How do we provide seamless patient care with other community providers and agencies?”

To support your transformation goals, review and select from the resources presented below.
(Click the + icon to expand the contents.)

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NNE-PTN members can access the following courses to support their practice transformation goals and aims.
You must have an account and be logged into the QC Learning Lab to access these.
(Account Setup & Login Instructions.)

Interpersonal Skills (Emotional Intelligence and Listening)

Healthcare is a practice of collaboration: among providers, between providers and staff, between providers and staff with patients and patients’ families, etc. Strong interpersonal skills (skills involved in interacting with others) are essential to successful collaboration in the healthcare workplace. This module focuses on developing two interpersonal skills: emotional intelligence and the ability to listen well.

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Learning Objectives:

  • Understand why emotional intelligence and listening are essential interpersonal skills to apply within the practice setting
  • Develop the ability to apply productive emotion self-management to interpersonal communication
  • Learn and demonstrate new listening skills to use within the practice team setting

Intended Audience:

Practice providers, practice staff,  practice administrators and various other health care related fields

Module Structure:

This learning module is self-paced in structure and you can work through the materials at your own pace. Estimated time to complete will be 1.5 hours.  The module consists of 5 units and contains the following elements:

  • Video lessons
  • Interactive presentations
  • Hyperlinks to readings, videos, web resources, and tools
  • Pre & post assessment

To take this course, click here.

Coordinating Person-Centered Care Transitions in Your Medical Neighborhood

Description

This learning module is intended to help practices develop a more streamlined and person-centered approach to care within the medical neighborhood in order to better align with the Quadruple Aim. Leaners will be oriented to what person-centered care transitions are and how some medical neighborhoods have implemented them utilizing existing models/best practices.

Learning Objectives

The following units are designed to:

  • Enhance knowledge of the varied components of a medical neighborhood and the key importance of the inclusion of social services providers in order to improve care transitions outcomes. (Driver: 1.5 Coordinated Care Deliver; Driver: 1.4 Practice as a Community Provider)
  • Provide practices with the skills to establish effective communication across their medical neighborhood as well as expand coordination to include social service providers and caregivers.
  • Promote the use of a person-centered approach in the context of care transitions. (Driver: 1.1 Patient and Family Engagement)
  • Gain knowledge and learn how to apply aspects of the essential elements of person-centered care. (Driver 1.2 Patient and Family Engagement; Driver 1.2: Team-based Relationships; 1.4 Practice as a Community Partner)
  • Assist practices in implement or integrating into an existing person-centered care transitions effort within their medical neighborhood. (Driver 1.6: Organized, Evidence-based Care, 1.4 Practice as a Community Partner)

Target Audience:

Practice and system leaders, providers, and staff enrolled in NNE-PTN.

Module Structure: 

This module is designed to allow you to work through the material at your own pace. Estimated time to complete will be 1.5 hours.

 

To take this course, click here.

Seamless Care: Strategies to Build Collaborative Partnerships in the Medical Neighborhood

Description

This learning module is designed to assist practices working as members of medical neighborhoods to identify effective interprofessional approaches to advance quadruple aim outcomes across the continuum of care. Participants will be oriented to the core competencies of collaborative healthcare and gain an understanding of the importance of adopting and developing a trauma-informed framework in overall practice transformation.

Learning Objectives:  

These modules are intended to:

1) Promote respect across disciplines by learning how each profession’s roles and responsibilities contribute to improved outcomes supporting the development of a caring and collaborative patient-centered culture focused on safety and quality (Driver: Patient & Family Engagement: 1.2 Team-Based Relationships)

2) Enhance the process by which health professionals consider and choose to make referrals to colleagues from other health disciplines (Driver: Patient & Family Engagement: 1.5 Coordinated Care Delivery and 1.4 Practice as a Community Partner- effective referral protocols)

3) Assist practices in Identifying strategies to build a trauma-informed collaborative culture in their medical neighborhood (by providing frameworks describing short & long term health impacts of trauma and early adversity on individuals, systems, and populations.)  (Driver: Patient & Family Engagement: 1.6 Organized, Evidence Based Care (use of EB protocols to improve patient care and safety)

Target Audience:

Practice and system leaders, providers, and staff enrolled in NNE- PTN.

Module Structure: 

This module is designed to allow you to work through the material at your own pace. Estimated time to complete will be 1.5 hours.  The module will consist of an introduction and 4 units and will contain the following elements:

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

Duration & Fee:

  • Estimated Time to Complete: 1.5 hour

(note: the module is divided into short digestible units [5-20 mins] which can be completed in small increments)

  • Registration Fee: FREE for NNE-PTN members
  • CME Credits Offered: 1.5

Hardware/Software Requirements:

  • Computer with Internet connection
  • Current version of Chrome, Firefox or Safari browser. You must have javascript enabled.

To take this course, click here.

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

Description

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 www.CompareMaine.org 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.

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.

To take this course, click here.

Get a Grip on Change

Description

This learning module seeks to address gaps as identified by the TCPi Practice Assessment Tool (PAT) during the PTN baseline assessments, specifically targeting Quality Improvement strategies and Team Engagement as effective drivers of successful change management.  Through examination of relevant studies and research-based models, participants will gain an understanding of how to maximize the positive impact of change on their organization and minimize the negative.  The learning module will include practical strategies and tools that participants will be able to employ with their practice, as well as identify leader behaviors to model in order to best support team members through the change process.

This learning module is part of the NNE-PTN Series with the Daniel Hanley Center for Health Leadership.

Intended Audience:

Practice and system leaders, providers, and staff needing or desiring to build or improve their quality improvement strategy and team-building skills in the quickly changing field of health care.

Module Structure: 

This learning module is self-paced in structure and you can work through the materials at your own pace. Estimated time to complete will be 1.5 hours.  The module will consist of an introduction and 5 units and will contain the following elements:

  • Hyperlinks to readings, videos, web resources and tools
  • Video lessons
  • Case study activity
  • Interactive web-based documents using Google Drive

Duration & Fee:

  • Estimated Time to Complete: 1.5 hours

(note: the module is divided into short digestible units [5-15 mins] which can be completed in small increments)

  • 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.

To take this course, click here.

You must have an account and be logged into Healthcare Communities® to access the content listed below.
(Account Setup Instructions.)

Provided courtesy of American Medical Association. 

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Implementing Team-Based Care

Engage the entire team in caring for patients

Go to course.

Creating Strong Team Culture

Evaluate and improve team culture in your practice

Go to course.

Implementing Health Coaching

Help patients take charge of their health, and foster healthier patients with better outcomes.

Go to course.

Conducting Effective Team Meetings

Develop strategies and tactics for effective team meetings that strengthen working relationships and improve practice efficiency

Go to course.

Behavioral Health Integration into Ambulatory Practice

Bringing medical and behavioral health services together within primary care, the team is better able to meet the mental and general health needs of the patient.

Go to course.

 

Advancing Choosing Wisely

Increasing administrative responsibilities—due to regulatory pressures and evolving payment and care-delivery models—reduce the amount of time physicians spend delivering direct patient care. When both physicians and patients understand how to make wise treatment decisions—such as choosing care that is supported by evidence, is not duplicative, has the lowest possible risk for harm, and is truly necessary—patient care and physician satisfaction will improve.

Go to course.

You must have an account and be logged into ACP Practice Advisor® to access the content listed below.
(Account Setup & Login Instructions.)

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Deliver Patient-Centered Care

Providing care that is respectful of and responsive to patient preferences, needs, and values and ensuring that patient values guide clinical decisions

Go to course.

Communicate with Patients

Collaboration between the practice team and the patient (and support network) depends on helping them understand the care and treatment plan, which in turn depends on good communication skills

Go to course.

Motivational Interviewing

Introduces the concept of motivational interviewing and practical guidance on integrating MI into a medical practice

Go to course.

Facilitate Transitions

Explores areas to address to improve transitions of care between inpatient and outpatient settings

Go to course.

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