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Constructing the Medical Home: Bolstering Care, Outcomes and Transitions with a Multidisciplinary Team

Harness the Strength of the Medical Home Team for Best-Case Outcomes

About the Webinar

Program Objectives

Webinar Will Answer These Questions

Attend from your desktop or conference room. Invite your whole team to attend!

Rates: $329 per location, unlimited viewers per location (special rate available for solo practitioners and the military). Please call 301-354-1769 for promo code for a price reduction if you qualify.

Today we are putting a great deal of responsibility on patients with chronic conditions like diabetes, COPD and heart disease. We are asking our patients to play an active – and sometimes unfamiliar – role in their care to prevent exacerbations and setbacks. They are taking multiple medicines, they are learning to change their diet and lifestyles, and asked to take the time to monitor their conditions so they can be aware of problems early on and report to the team so a plan can be put into place to avoid costly complications.

They are seeing multiple doctors and other health professionals, like nurse practitioners, pharmacists, and other clinicians, more often than they did before. They require more appointments, more tests, and more follow up to better manage their conditions and they are using tools like telemedicine to ensure they are on track. Coordinating care is challenging even for the most sophisticated consumer. Having a team who can educate, empower and assist is the key to successful chronic disease management.

Join us on July 31, 2012, as we bring together a team of professionals embedded into a medical home practice to learn how they are changing the delivery of care one patient at a time by communicating effectively, and working together as a team by utilizing their individual expertise and taking the time to understand their patient’s needs.

About the Webinar

It's no less true for being obvious; educating and managing patients with chronic conditions is an effective way to stabilize overall healthcare costs. Now it appears that hospitals and health plans are beginning to grasp the obvious: if you can't manage comorbidities for the chronic medical patients, there is no hope of holding down costs.

The medical home, or a patient-centered healthcare home, is an emerging model that has the ability to change the focus of healthcare to a more preventive model than the passive model that is currently in place. The medical home model takes a team approach to primary care and puts the patient at the center of that team. The idea isn't new, but it's getting tested in new and larger ways. Medical home teams often work in a primary care doctor's office or clinic. Team members can include doctors, nurses, case managers, behavioral health professionals and dieticians, who help coordinate their patients' care across a range of settings, such as health clinics, hospitals, and cardiologists' or other medical specialists' offices.

The Chronic Care Model that was developed by Dr. Ed Wagner from Group Health Cooperative identifies six fundamental areas that form a system that encourages high-quality chronic medical management. Organizations must focus on these six areas, as well as develop productive interactions between patients who take an active part in their care and providers who have the necessary resources and expertise. The six areas are:

Self-management support.
Delivery system design.
Decision support.
Clinical information systems.
Organization of healthcare.
Community.

As we know, patients with chronic conditions generally are not taught how to care for their own illnesses. Doctor visits are short and without planning to make sure those chronic needs are addressed. Caring for chronic illness usually features uninformed and passive patients interacting with an unprepared practice team. To change this scenario, it is important to have a coordinated team in place as the first step to effective management of the chronic medical patient.

Join us as we learn how medical home are using the multidisciplinary team to change the delivery of care one patient at a time.

Program Objectives

Discuss the role of the multidisciplinary team in the medical home.
Describe the multidisciplinary team and the expertise they bring to meet the needs of the complex medical patient.
Share successes and “case studies” that show the value of a multidisciplinary team when it comes to improving care, and discuss other outcomes that have been achieved.

Our Webinar Will Answer These Questions

How can the multidisciplinary team improve chronic care management?
How are medical homes deciding on what professionals are best utilized to meet the needs of their patients?
What policies do you need in place to ensure professionals work within their scope of practice?
How are teams ensuring safe transitions of care?
What is the process for follow up when there are multiple professionals in place?
Who takes the lead as captain of the ship?

Faculty

Margaret Kucinski, RN, BSN, the Clinical Director at Medical Network One, graduated from Grand Valley State University, with a Bachelor of Science in Nursing. She currently is the Clinical Director at Medical Network One. As Clinical Leader for The Michigan Primary Care Transformation Project (MiPCT) she oversees the clinical operations and implementation of care managers in the practice unit. Additionally is a Certified as a Master Trainer in the Stanford Chronic Disease Self-Management Training Program.

Kim Roberts has worked for Medical Network One as embedded psychologist in pediatrics office since February 2011. Ms. Roberts earned a bachelor’s degree in Clinical Psychology from Eastern Michigan University and a master’s degree in Clinical Psychology (developmental tract) from University of Detroit Mercy. She has a wealth of clinical experience in Community Mental Health.

Erica Ross, BS, ACE, a Certified Exercise Specialist and Wellness Coordinator, graduated from Oakland University, with a Bachelor of Science in Wellness, Health Promotion, and Injury Prevention and a focus in Psychology. She is currently working with chronic disease populations, primarily co-morbidities associated with obesity in adults and works with weight and chronic disease management in the pediatric population. She has participated in and overseen the development of several of Medical Network One’s wellness programs, including the Lifestyle Management Program and RTEAM. Erica is a certified Advanced Health and Fitness Specialist through the American Council on Exercise and maintains a certification through the American College of Sports Medicine as a WellCoach.

Moderator:
Anne Llewellyn RN-BC, MS, BHSA, CCM, CRRN
Editor in Chief, Case Management Products
Dorland Health, a division of Access Intelligence

Who Should Attend

Behavioral Health Counselors
Case/Care Managers
Clinical Nurses
Disability management specialist
Nurses
Nurse Practitioners
Managed Care Directors

Medical Assistance
Pharmacists
Physicians
Physician Assistances
Practice Management Professionals
Patient Centered Medical Home Consultants Social Workers

Purchase Options

$329 per location, unlimited viewing per location (a special rate is available for solo practitioners and the military. Please call 301-354-1769 for promo code for a price reduction if you qualify.
Live Webinar Registration – $329 (per-site fee)
Webinar Recording on CD-ROM – $329
Live Webinar and CD-ROM – $379

About URAC

URAC has developed its Patient Centered Health Care Home (PCHCH) programs to educate and guide health care practices, and their sponsoring health plans, insurers and pilot programs through transformation into truly patient-centered health care homes. Learn more »

Continuing Professional Education

Nurses: This program is approved for 1.5 contact hours for nurses by Commonwealth Educational Seminars (CES). As an approved provider by the California Board of Registered Nursing (Provider Number CEP 15567), CES Programs are accepted by every State Board of Nursing with the exception of Delaware.

Certified Case Managers: This program is approved for 1.5 contact hours for case managers through the Commission for Case Manager Certification.

Social Workers: This program is approved for 1.5 CE hours for Social Workers. Commonwealth Educational Seminars (CES) is approved as a provider for Social Work Continuing Education (ACE Provider #1117) by the Association of Social Work Boards (ASWB, 400 South Ridge Parkway, Ste B, Culpepper, VA 22701) www.aswb.org. ASWB Approval Period: 10/6/09-10/5/12.

Questions?

For questions regarding the Webinar or to register by phone, contact Hope Kabik at 301-354-1769.

For content questions regarding this Webinar, contact Anne Llewellyn at 954-254-2950 or email allewellyn@dorlandhealth.com.

*Dorland Health does not offer any refunds for the webinar. All sales are final.

For technical support questions, you can contact the Webex technical support line at 1.866.229.3239.

How Does the Webinar Work?

The live audio is delivered to your location over the telephone or your computer speakers. The Power-Point presentations are presented over the Internet and are available to print out before the program. This is like a talk-radio program with visuals on the Web. You and your team will be able to have a live Q&A with all the speakers.

More details on webinar equipment and connections