Health Care Homes (aka Medical Homes) - Learning Collaborative
HCH Learning Day - November 1, 2012
Adult Learning Track
Implementing the HCH for Patients with Alzheimer’s Early Identification, Care Coordination & Care Giver Support!
Clinic Preventive Health – An Overview and Innovative Application.
- Preventive Care Public Health & Clinical Partnership (PDF: 114KB/3 pages)
- HCMC East Lake Wellness Preventive Care (PDF: 154KB/20 pages)
Pediatrics Learning Track
Transition Planning for Pediatrics.
- Pediatric - Medicine Transition Project (Hennepin County Medical Center, Minneapolis) (PDF: 115KB/6 pages)
- Transition of Care of Adolescents & Young Adults with Chronic Medical Issues from a Pediatric Care Model to an Adult Care Model at HealthPartners (PDF: 1.4MB/8 pages)
- The Minnesota Transition Health Collaborative (PDF: 271KB/8 pages)
Children’s Mental Health: Screening and Resources.
- Children's Mental Health in the Health Care Home: Screening, Consultation and Referral (PDF: 445KB/10 pages)
Lunch Speaker - Petra Marquart
Population Management: How do you identify ‘the right’ patients for care coordination?
- Mankato Clinic's Population Management Workflow (PDF: 79KB/4 pages)
- Health Care Home Identifying & Engaging Patients (PDF: 287KB/5 pages)
- Park Nicollet Care Conferences (PDF: 580KB/16 pages)
- Improving the Patient Experience: Fairview Rosemount Clinic (PDF: 78KB/2 pages)
- Is Your Organization Engaged in Patient and Family-Centered Care? (PDF: 284KB/7 pages)
Care Coordination (3 sessions 55 minutes each)
l. Working with External Care Coordinators
- Working With External Care Coordinators Or ... Coordinating the Care Coordinators (PDF: 104KB/4 pages)
ll. Developing Emergency/Acute Care Action Plans
lll. Team Development
- Mary Hauck, RN, PhD
Creating Community Partnerships to Enhance Care Coordination: Presentation by Community Care Team Pilot teams.
- HCMC Community Care Team: Health Care Home Learning Collaborative (PDF: 155KB/7 pages)
- The Community Connections Program: Enhancing Care Coordination and Self-Management Support in Health Care Homes (PDF: 187KB/9 pages)
- Community Care Teams: Coordinating Care Through Community Relationships (PDF: 204KB/6 pages)
Practical Tools to Increase Colon Cancer Screening in your Clinic.