The Care Coordination Fundamentals curriculum consists of four (4) modules or sections that are structured to build on one another sequentially. All front-line staff working in a team-based healthcare environment will benefit from this course. This advanced version of the care coordination curriculum introduces staff to chronic, mental and behavioral conditions, (i.e. diabetes, hypertension, high cholesterol, asthma, depression, substance abuse etc.) and helps them understand these conditions and provides participants with coaching tools on how to teach patients to manage their health.

Participants will experience a highly interactive class environment tailored to adult learners. Our approach strengthens the participants’ critical thinking skills by engaging them in discussion, individual exercises and group activities. Participants complete the course prepared to assist their patients in navigating the healthcare system, and to be strong, productive members of healthcare teams providing coordinated and patient-centered care.

This class will be held at Staten Island PPS, 1 Edgewater Plaza Staten Island NY. 10305.

Advanced care coordination

1. Module 3- Basics: Common Chronic Diseases/ Health and Wellness 1

• Review definitions of Health Homes and Patient Centered Medical Homes
• Understand the “clinical” role of staff providing care coordination
• Understand the basics of diabetes: most common diagnostic tests and treatments, specialists that patients with these conditions commonly need to see, and danger signs and symptoms
• List different ways that patients cope with having a chronic disease
• Know how to help patients talk to their doctors and prepare them for productive medical visits

2. Module 4- Basics: Common Chronic Diseases/ Health and Wellness 2

• Understand the basics of hypertension
• Understand the basics of high cholesterol
• Understand the basics of asthma
• Describe healthy behaviors and risk factors related to diet, exercise and smoking

3. Module 11- Basics of Mental Illness and Crisis Management 1

• Understand connection between mental health and chronic disease management
• Understand role of care coordination in helping patients with mental illness
• Understand characteristics of common mental illnesses such as depression
• Understanding of basic risk assessment for depression and suicidal ideation

4. Module 13- Basics of Mental Illness and Crisis Management 3

• Describe the role of front-line care coordination staff in dealing with a patient crisis
• Understand the difference between positive and negative coping strategies
• Understand the characteristics of substance abuse
• Understand the characteristics of domestic violence
• Understand the characteristics of loss and grieving