CM Express: Accelerating Performance in New CMs. Module D. Enhan
This module explores one of the most basic but critical parts of a CM’s job: navigating a patient through the transitions of care within his or her treatment. It begins by detailing what the continuum of care can look like, from inpatient care to perhaps a skilled nursing facility or home, with ongoing care from primary care physicians, nutritionists, or mental health specialists. Next, the module details the kinds of skills required to finesse these transitions—such as accountability and good communication skills—and how those skills will be needed for special patients, such as children. Last, the module details how CMs can troubleshoot with patients at higher risk of hospital readmission, and how to help patients empower themselves for better self-care going forward.