About this Training

PCMH 301: Advanced - Care Management Excellence - A Systems Approach

Effective care management is not defined by enrollment numbers, risk scores or completed care plans. High-performing organizations design care-management systems that identify the right patients, connect them to the right interventions, measure what matters to the patient and sustain outcomes over time.
PCMH 301: Care Management Excellence – A systems Approach is an advanced course that explores how successful practices move beyond compliance to build strategic, patient-centered care-management programs. Learners will examine the interrelationships among patient identification, risk stratification, care planning, care coordination, person-centered outcomes, team workflows and quality improvement.

Using realistic practice scenarios, care plans, patient cases and operational data, participants will evaluate care-management approaches, critique program design decisions and develop strategies for creating sustainable, high-performing care-management systems. 

This course emphasizes systems thinking, operational decision-making and practical application of PCMH Care Management standards within real-world practice environments.

What You Will Learn

At the end of the course learners will be able to:
• Evaluate a practice’s care management population and risk-stratification approach to determine whether patient need, program intent, staffing capacity and operational resources are appropriately aligned.

• Redesign care plans and supporting workflows to promote collaborative, person-centered care; meaningful goals; self-management; barrier resolution; and continuity across settings.

• Select and interpret clinical, utilization, engagement and patient-reported outcome measures to assess whether care management is producing meaningful improvement for patients and the practice.

• Develop and defend an integrated care management improvement strategy that connects CM requirements with related TC, KM,CC and QI workflows while addressing feasibility, sustainability, and performance.

Who Should Attend

• Healthcare professional
• Healthcare decision maker
• Consultant
• PCMH CCEs
• Care Delivery Teams
• Health plan
• Health system
• Hospital
• MBHO
• Population health organization
• Wellness organization leverages in federal, state, employer

Continuing Education

In support of improving patient care, the National Committee for Quality Assurance is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC) to provide Interprofessional Continuing Education for the healthcare team. 

This educational activity is approved for: 2.0 AMA PRA Category 1 Credits^TM.

This educational activity is approved for 2.0  nursing contact hours.*

This course grants 3.0 Optional Education Unit (CEU) points for PCMH Certified Content Experts.  

* Please note – You must attend the entire program to be eligible for total number of contact hours.

Disclosure of Relevant Financial Relationships

The National Committee for Quality Assurance (NCQA) endorses the Standards of the Accreditation Council for Continuing Medical Education which specify that sponsors of continuing medical education activities and presenters at and planners for these activities disclose any relevant financial relationships either party might have with commercial companies whose products or services are discussed in educational presentations.

For sponsors, relevant financial relationships include large research grants, institutional agreements for joint initiatives, substantial gifts, or other relationships that benefit the institution.  For presenters or planning committee members, relevant financial relationships include the receipt of research grants from a commercial company, consultancies, honoraria, travel, or other benefits, or having a self-managed equity interest in a company; or having an immediate family member or partner with such a relationship.

Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Relevant financial relationships exist with the following companies/organizations:

Planning Committee Members:
Tammy Donnelly: None
Jennifer Anglin: None
Cathy Beckner: None
Tracelyn Thigpen: None

This program was developed in part by NCQA staff.