Transformed Care Management

Module Description

As healthcare becomes increasingly complex, our patients require more than just medical services. In order to holistically address health needs, our patients and families require assistance navigating health care services, assembling social services, understanding complex medication regimens, adhering to complicated medical instructions, and emotional support. In essence, they require care management.  This module provides a discussion of various care management models and practical tips for healthcare organizations to develop (and get paid for) care management that will enhance patient care, reduce provider stress, and improve outcomes.

Intended Audience

This course is designed for physicians as well as nurse practitioners, physician assistants, and allied health professionals who are working toward population health management, especially in safety-net settings.

Duration and Fee

Estimated Time to Complete: 1 hour

Registration Fee: $20

CME Credits

This Enduring Material activity, Population Health in the Safety Net, has been reviewed and is acceptable for up to 12.00 Prescribed credit(s) by the American Academy of Family Physicians. AAFP certification begins 10/01/2018. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Karen Hill is a doctoral-prepared, board-certified advanced practice registered nurse with a specialty in environmental and occupational health and clinical training in adult, adolescent and young adult health. Dr. Hill’s clinical capabilities span primary care, acute care, outpatient care, home healthcare transitions, and trauma-informed systems of care. She has brought her extensive expertise in developing and implementing care management systems in multiple healthcare organizations with special focus on integration of social determinants of health and community engagement of underserved populations to this presentation.

Karen Hill discloses that she is an employee of Health Management Associates, a national research and consulting firm providing technical assistance to a diverse group of healthcare clients.

Learning Objectives

At the completion of the course, attendees will be able to:

  • Define transformed care management
  • Describe the team-based approach to care management
  • List opportunities claiming optimal reimbursement for care management activities
  • Compare and contrast models of care management within various organizations
  • Explore the role of the clinician as a leader in care management
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Module Content