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ForwardManaging Members With Chronic Conditions
Activity description
As a case manager (CM), managing medically complex members with multiple comorbidities is not uncommon. This activity will discuss some of the challenges that CMs face when assisting members with heart failure (HF), heart disease (HD), diabetes (DM) and chronic obstructive pulmonary disease (COPD). Some organizations and health plans offer case management programs to members with these chronic conditions. It is important for CMs to understand the components of these programs, such as assessment and monitoring for exacerbations, diagnostic tests and labs, routine health care, medication management, lifestyle changes and support measures. This activity aims to empower case managers to incorporate evidence-based interventions and member education into their clinical practice to enable members to better control their symptoms and improve their quality of life.
Course last reviewed: 9/7/2023
Provided by
This activity is provided by OptumHealth Education and Optum Care.
Commercial support
No commercial support was received for this activity.
Hardware/Software Requirements
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Target Audience
This activity is designed to meet the educational needs of case managers, nurses and social workers who care for individuals with chronic conditions.
Learning Objectives
At the end of this educational activity, participants should be able to:
- Define HF, HD, DM and COPD.
- Examine factors that may increase a member's risk of developing HF, HD, DM, COPD or related conditions.
- Discuss diagnostic, assessment and monitoring tools.
- Explain treatment options for HF, HD, DM and COPD.
- Describe recommended lifestyle changes and additional support measures for individuals with chronic conditions.
Faculty/Planners
Lolly Bilous, MSN, RN, CCM
Associate Director
Clinical Adherence and Remediation
Clinical Consistency and Safety
Clinical Performance
Optum Care
Sarah Chart, RN
Vice President
OptumHealth Education
Karen Davidson, BSN, RN, CCM
Training Consultant
Clinical Adherence and Remediation
Clinical Consistency and Safety
Clinical Performance
Optum Care
Rebecca Gleason, RN, CCM
Clinical Planner
OptumHealth Education
Georgina Perez, BSN, RN, CCM
Training Consultant
Clinical Adherence and Remediation
Clinical Consistency and Safety
Clinical Performance
Optum Care
Brianna Trent, BSN, RN, CCM
Clinical Training Specialist
Clinical Adherence and Remediation
Clinical Consistency and Safety
Clinical Performance
Optum Care
Disclosures of relevant financial relationships
In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, OptumHealth Education (OHE) requires all those in control of educational content to disclose their financial relationships with ineligible companies within the prior 24 months. Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. Individuals must disclose all financial relationships, regardless of the amount, with ineligible companies and regardless of their view of the relevance of the relationship to the education. OHE ensures that the content is independent of commercial bias.
The activity faculty or planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
Accreditation statement
In support of improving patient care, this activity has been planned and implemented by OptumHealth Education and Optum Care. OptumHealth Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.
Credit designation statements
Nurses
The participant will be awarded up to 2.00 contact hours of credit for attendance and completion of supplemental materials.
Nurse practitioners
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
Social workers
As a Jointly Accredited Organization, OptumHealth Education is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. OptumHealth Education maintains responsibility for this course. Social workers completing this course receive 2.00 enduring continuing education credits.
Case managers
The Commission for Case Manager Certification has approved this program for a maximum of 2.00 clock hours for Certified Case Managers (CCM).
Attendance
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been pre-approved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization with which they wish to obtain credit.
Available Credit
- 2.00 ANCC - Nurses
- 2.00 Attendance - General Attendance
- 2.00 CCMC - General - Case Managers
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