Team-Based Care Coordination ECHO

Team-Based Care Coordination ECHO

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Date(s) - 03/05/2019
8:00 am - 9:00 am


This ECHO Learning Series aims improve the health and quality of care for patients with chronic disease by providing care coordinators with foundational knowledge and practice opportunities for prevention and management strategies.

Tuesdays at 8 am, March 5-26

Recommended Prerequisite: Care Coordination Online PNTC course


  • Compare and contrast the role of the care coordinators from other roles within the care team
  • Discuss the care coordinator skillset
  • Describe the role of the care coordinator in the screen and panel management
  • Use evidence based care coordination tool to prioritize patients according to patient needs
  • Use an assessment checklist to assess patients with regard to medical, mental health, and social determinants of health
  • Evaluate your current assessment checklist for comprehensiveness in screening patients for medical and mental health conditions, and social determinants of health
  • Discuss culturally sensitive questions to assess patients for social determinants of health issues
  • Use interview skills to assess patient needs
  • List behavioral support strategies for self-management support
  • Apply motivational enhancement strategies to support behavioral change
  • Identify elements within a shared care plan
  • Develop SMART goals that are patient centers
  • Design patient centered action plans
  • List factors leading to avoidable ED visits
  • Recognize effective care coordination strategies to address avoidable ED visits