| Lecture Handout_RNCM Leadership_Teams_6 per page | November 28, 2022 | |
| Lecture Handout_RNCM Role in LTSS_6 per page | November 30, 2022 | |
| LTSS_Primer for CMs_Part 2_Prof CM 2019 | November 29, 2022 | |
| Recommendations_National Imperative NH Quality_NASEM 2022 | November 29, 2022 | |
| The Power of Veteran Directed Care for Veterans Affairs Medical Centers | November 29, 2022 | |
| Patient Centered Team Based Health Care_ANA Issue Brief 2016 | November 29, 2022 | |
| Practice Development Activity_RNCM Leadership | November 29, 2022 | |
| Principles of Collaborative Relationships_ANA_AONE | November 29, 2022 | |
| RNs as Professionals_Collaborative Leaders_ANA 2016 | November 29, 2022 | |
| The Power of Mentoring_Leveraging EBP_Prof CM 2021 | November 29, 2022 | |
| Collaboration, Communication, Coordination_ Moving to Build Consensus for Change CMSA Today 2022 | November 29, 2022 | |
| From Novice to Expert_Benner AJN 1982 | November 29, 2022 | |
| IHIWhitePaper_FrameworkForImprovingJoyInWork | November 29, 2022 | |
| Leveraging_Interprofessional_Team_Based_Care.1_Prof CM 2019 | November 29, 2022 | |
| Leveraging_Interprofessional_Team_Based_Care.2_Prof CM 2020 | November 29, 2022 | |
| Nursing Peer Review_Principles & Practice_AmNurseToday 2011 | November 29, 2022 | |
| READING GUIDE_RNCM Leadership | November 29, 2022 | |
| A Framework for Integrating FG into the HC Team_Rand Report 2022 | November 29, 2022 | |
| Approaches Improving Medicare Home Health Benefit Medicaid Lessons _ Commonwealth Fund | November 29, 2022 | |
| High Performance_Examining LTSS Performance_AARP 2022 | November 29, 2022 | |
| Highlights_National Imperitive to Improve NH Quality_NASEM 2022 | November 29, 2022 | |
| LTSS__Primer for CMs_Part 1_Prof CM 2019 | November 29, 2022 | |
| LTSS_Infographic_AARP 2019 | November 29, 2022 | |
| READING GUIDE_RNCM Role in LTSS | November 29, 2022 | |
| Practice Development Activity_RNCM Role in LTSS | November 29, 2022 | |
| Challenges_Solutions_Care of Frail Older Adults _ OJIN | November 29, 2022 | |
| Frailty Syndromes_Nursing Interventions_SAGE 2018 | November 29, 2022 | |
| Transitional Care_Frail Older Adults_Geriatric Nsg 2022 | November 29, 2022 | |
| AHC Health Social Needs ScreeningTool_CMS 2018 | November 21, 2022 | |
| Burden Scale for Family Caregivers_short | November 21, 2022 | |
| Everyone Project Social Needs Screening Tool_AAFP | November 21, 2022 | |
| Home Prevention Fall Checklist_CDC | November 21, 2022 | |
| Katz Index of Independence_ADLs | November 21, 2022 | |
| Lawton Elder IADL ADL assessment screen | November 21, 2022 | |
| MMSE_Hartford | November 21, 2022 | |
| Older Adults Health Assessment Tools_Summary of Evidence | November 21, 2022 | |
| PRAPARE Assessment Tool_NACHC | November 21, 2022 | |
| Try This_Prepardeness for Caregiving Scale_Hartford | November 21, 2022 | |
| Community Health Workers Toolkit Link_CDC | November 21, 2022 | |
| What Matters to Older Adutls_Age Friendly Toolkit_IHI | November 21, 2022 | |
| Aging and Disability Resource Centers | November 21, 2022 | |
| Disability Infograph_CDC | November 21, 2022 | |
| DME Coverage_Medicare | November 21, 2022 | |
| STEADI_Coordinated Care Plan Prevent Falls Toolkit_CDC | November 21, 2022 | |
| The Role of Aging and Disability Network Agencies in Veteran Directed Care | November 21, 2022 | |
| Lecture Handout_RNCM Networking & Resources_6 per page | November 29, 2022 | |
| Care Coordination_NQF 2010 | August 17, 2022 | |
| Case Mgmt_Salaries & Trends Survey Report_CMSA 2022 | August 17, 2022 | |
| Essential_Nursing_Care_Management_and_Coordination_Prof CM 2019 | August 17, 2022 | |
| Future of Nursing 2010 Report Brief_IOM | August 17, 2022 | |
| NLC_Nurse Employers_NCSB | August 17, 2022 | |
| NLC_Nurse Leaders_NCSB | August 17, 2022 | |
| The Essential Role of RNs in Care Coordination_ANA Position Statement 2021 | August 17, 2022 | |
| Types of RNCM Practice | August 17, 2022 | |
| What’s Old is New Again_History of CM_CM Insider 2017 | August 17, 2022 | |
| Practice Development Activity_Emerging Roles & RNCM Practice | August 17, 2022 | |
| READING GUIDE_Emerging Roles & RNCM Practice | August 17, 2022 | |
| Partnering with High Need Patients Lecture Handout_6 per page | October 23, 2022 | |
| Optimizing Older Adults Medication Use_AJN 2022 | November 14, 2022 | |
| Addressing What Matter_Older Adults & Caregivers_AJN 2022 | November 14, 2022 | |
| The 4Ms of an Age Friendly Health System_AJN 2021 | November 14, 2022 | |
| Recognizing & Acting on Mentation Concerns_Caregivers_AJN 2022 | November 14, 2022 | |
| Recalibrating for Caregivers_RCI Report 2020 | November 14, 2022 | |
| Lecture Handout_Partnering with Family Caregivers_6 per page | November 14, 2022 | |
| Lecture Handout_RNCM Role in Primary Care_6 per page | November 14, 2022 | |
| Why Medical Home Works_PCC | November 14, 2022 | |
| READING GUIDE_Partnering Family Caregivers | November 14, 2022 | |
| Practice Development Activity_Partnering w Caregivers | November 14, 2022 | |
| Comprehensive Assistance for Family Caregivers VA News 2022 | November 14, 2022 | |
| VA’s Veteran Directed Care puts the Veteran in charge VA News 2022 | November 14, 2022 | |
| The CARE Act Implementation_AARP | November 14, 2022 | |
| NatlStrategyToSupportFamilyCaregivers | November 14, 2022 | |
| Complex Role of Family Caregivers_Healthcare 2019 | November 14, 2022 | |
| Age Friendly Health Systems_4Ms_Best Practice_Hartford | November 14, 2022 | |
| About PACT_Practice Example_SD CVC | November 7, 2022 | |
| IHS Care Model _ Models for Improving Care_IHS | November 7, 2022 | |
| Improving Pt Care_IHS 2022 | November 7, 2022 | |
| Keeping Veterans Healthy at Home_ Lessons from VA HBPC _ Playbook 2021 | November 7, 2022 | |
| Welcome to Your PCMH_IHS Fact Sheet | November 7, 2022 | |
| SDoH & Social Needs Model | November 14, 2022 | |
| Embedded RNCMs in Primary Care_CMSA Today 2021 | November 7, 2022 | |
| FQHC_MLN 2021 | November 7, 2022 | |
| Primary Care_A Key Lever to Advance Health Equity_PCC 2022 | November 7, 2022 | |
| RNCM Brings Dignity_Relief for Family_HQP_NAM | November 7, 2022 | |
| RNs in Primary Care_Emerging Roles_J Amb CM 2017 | November 7, 2022 | |
| Witnesses to Inequity_Nurses as Advocates_CCNA 2021 | November 7, 2022 | |
| Preventing Falls & Injuries at Home_Caregivers_AJN 2018 | November 14, 2022 | |
| America’s Health Centers Infograph_NACHC 2022 | November 7, 2022 | |
| Care Management_Implementation Guide_AHRQ | November 7, 2022 | |
| CCM_Medicare Reimbursement Strategies for Rural Providers_RHIHub 2022 | November 7, 2022 | |
| Comp PC+_Infographic_CMS | November 7, 2022 | |
| READING GUIDE_RNCM Role in Primary Care | November 7, 2022 | |
| Practice Dev Activity_RNCM Role in Primary Care | November 7, 2022 | |
| Practice Dev Activity_Communication_Advocacy_Care Planning | November 4, 2022 | |
| READING GUIDE_Communication_Advocacy_Care Planning | November 4, 2022 | |
| Essential Skills of CM_Part 1 | November 4, 2022 | |
| Template Questionnaire Patient Centered Care Plan_AAFP | November 4, 2022 | |
| Principles for Nursing Documentation_ANA Guidance for RNs | November 4, 2022 | |
| Tip Sheet_Developing Positive Telephone Relationships_National RNCM 2019 | November 4, 2022 | |
| Best Practices for Communicating Through an Interpreter | November 4, 2022 | |
| Essentials of Advocacy in CM__Part 2_Prof CM, 2016 | November 4, 2022 | |
| Essentials of Advocacy in CM_Part 1_Prof CM 2016 | November 4, 2022 | |
| Essential Skills of CM_Part 4 | November 4, 2022 | |
| Essential Skills of CM_Part 3 | November 4, 2022 | |
| Essential Skills of CM_Part 2 | November 4, 2022 | |
| Assisting Patients w HBC_National RN 2022 | October 30, 2022 | |
| Lecture Handout_Health Behavior Change_6 per page | October 31, 2022 | |
| Lecture Handout_Pt Engagement & SMS_6 per page | October 31, 2022 | |
| Effective Use of Technology Lecture Handout_6 per page | October 7, 2022 | |
| READING GUIDE_Effective Use of Technology in RNCM Practice | October 9, 2022 | |
| Technology Definitions & Terms_National RN PDC | October 9, 2022 | |
| ACO Case Study Care Transformation Toolkit_CMS 2021 | October 9, 2022 | |
| ACO Operational Elements Toolkit_CMS 2021 | October 9, 2022 | |
| Advancing a Digital Future_Nsg Mgt 2022 | October 9, 2022 | |
| Core Principles on Connected Health_ANA 2019 | October 9, 2022 | |
| Good %22Webside%22 Manner_ Recommendations for Effective Virtual Care | October 9, 2022 | |
| Health IT Playbook_Office National Coordinator HIE 2022 | October 9, 2022 | |
| How to Keep Your Health Information Private and Secure_HealthIT.gov 2019 | October 9, 2022 | |
| Managing Chronic Care Conditions_Digital Technology_Health Catalyst 2022 | October 9, 2022 | |
| RPM_HTN Case Study_HTN_HealthCatalyst 2022 | October 9, 2022 | |
| Steps to Protect_Secure PHI when using a Mobile Device_HealthIT.gov | October 9, 2022 | |
| Practice Development Activity_Health Behavior Change | October 30, 2022 | |
| READING GUIDE_Health Behavior Change | October 30, 2022 | |
| Self Management Support Resources Tool AHRQ | October 30, 2022 | |
| Shared Decision Tool for 2 Ottawa, 2016 | October 30, 2022 | |
| Shared Decision Tool Ottowa | October 30, 2022 | |
| DinnerPlateMenus_DiabetesAsthmaHypertension_HBC Tools | October 30, 2022 | |
| Simple 1 10 Importance_Confidence Scales_Lorig | October 30, 2022 | |
| Self Efficacy for Managing Chronic Disease 6 Item Scale | October 30, 2022 | |
| SMART Goals Guide_(National RN) | October 30, 2022 | |
| Goals to Care_Person Centered_NCQA | October 30, 2022 | |
| Brief Action Planning to Facilitate HBC, SMS_Gutnick et al | October 30, 2022 | |
| CPG_Shared Decision Making POCKET_HealthQuality.va.gov | October 30, 2022 | |
| Chronic Disease Self Management Program_Stanford | October 30, 2022 | |
| MI_A Communication Best Practice_AmNurseToday2019 | October 30, 2022 | |
| 5 As_Modified 5 As_Obesity Application_National RN 2022 | October 30, 2022 | |
| Practice Guideline 5 As Model of PCC & SMS_ICSI | October 30, 2022 | |
| Stages of Change_Transtheoretical Model_Prochaska & DiClemente | October 30, 2022 | |
| READING GUIDE_RNCM Role in Safe, Effective Care Transitions | October 23, 2022 | |
| Practice Development Activity_Patient Engagement & SMS | October 30, 2022 | |
| READING GUIDE_Pt Engagement & Self Management Support | October 30, 2022 | |
| Characteristics of Successful Self Management Support_National RN | October 30, 2022 | |
| Medicare Wellness Visits_CMS MLN 2022 | October 30, 2022 | |
| Nursing’s Guiding Principles of Patient Engagement_NAQC | October 30, 2022 | |
| New Era Health Literacy_ Expanded Definitions, Digital Influences _Rural Inequities The Rural Monitor 2022 | October 30, 2022 | |
| How RPM Can Reduce Healthcare Inequities_Health Catalyst 2022 | October 30, 2022 | |
| How Nurses Support CI Clients’ Participation_BMC Primary Care 2022 | October 30, 2022 | |
| ACO Beneficiary EngagementToolkit_CMS 2019 | October 30, 2022 | |
| Managing Chronic Illness_Pt Perspectives_J Excellence Nsg HC 2020 | October 30, 2022 | |
| The Experience of People with Serious Illness_The Commonwealth Fund 2018 | October 30, 2022 | |
| Principles of PCC_Lecture Handout_6 per page | October 9, 2022 | |
| Teacch Back_Ensure Patients Understand Instructions_AHRQ | October 9, 2022 | |
| What Is Patient Centered Care_NEJM Catalyst 2017 | October 9, 2022 | |
| Shared Decision Making_New Frontier for CMs_Prof CM 2020 | October 9, 2022 | |
| READING GUIDE_Principles of Pt Centered Care | October 9, 2022 | |
| Practice Development Activity_Principles of Patient Centered Care | October 9, 2022 | |
| Digital Literacy_SDoH_Internet Interventions 2022 | October 9, 2022 | |
| Health Literacy Fact Sheet_CHCS | October 9, 2022 | |
| Advance Directive Forms for Each State & Territory CaringInfo | October 9, 2022 | |
| 19 Evidence based Benefits to APC_APCDecisions 2022 | October 9, 2022 | |
| OpenNotes_For Professionals_FAQs_RWJF 2017 | October 9, 2022 | |
| Questions Are the Answer_AHRQ 2022 | October 9, 2022 | |
| CAHPS Tip Sheet_HealthNet 2020 | October 9, 2022 | |
| What Is Patient Experience_ _ AHRQ 2022 | October 9, 2022 | |
| CMS Defining Meaningful Measures Areas Fact Sheet_508_2018 02 28 | October 9, 2022 | |
| Taking Care of My Pain Management_NTOCC | October 23, 2022 | |
| Taking Care of_My Health Care_NTOCC | October 23, 2022 | |
| Lecture Handout_RNCM Role is Safe, Effective Transitions_6 per page | October 23, 2022 | |
| Practice Development Activity_RNCM Role in Safe, Effective Care Transitions | October 23, 2022 | |
| Guidelines for a Hospital Stay_Pt_Family_NTOCC | October 23, 2022 | |
| My Medicine List_NTOCC | October 23, 2022 | |
| Patient Bill of Rights During Transitions of Care_NTOCC | October 23, 2022 | |
| Taking Care of COVID 19 Concerns_NTOCC | October 23, 2022 | |
| Nurses, Ethics, Response to COVID19 Pandemic (ANA) | June 19, 2022 | |
| Natural Disasters, Severe Weather (CDC 2026) | June 19, 2022 | |
| Emergency Preparedness & Response (CDC 2022) | June 19, 2022 | |
| COVID19 Responses & Updates (National Collaborative Health Equity) | June 19, 2022 | |
| Coronavirus Equity Considerations (NAACP 2020) | June 19, 2022 | |
| Ten Principles of Patient Centered Care_IHI | October 9, 2022 | |
| Preventing the Spread of Misinformation (Am Nurse 2022) | June 27, 2022 | |
| Reckoning with histories of medical racism and violence in the USA (Lancet 2020) | June 27, 2022 | |
| Social Determinants & Social Needs Model | June 27, 2022 | |
| Understanding Historical Trauma When Responding in Indian Country (SAMHSA) | June 27, 2022 | |
| Complete Care Plan: Emergency Preparedness Tool (CDC) | June 27, 2022 | |
| Social Determinants of Health: Know What Affects Health (CDC) | June 27, 2022 | |
| Stopping Disinformation Toolkit (CISI/Dept Homeland Security, 2020) | June 27, 2022 | |
| Care Transition Bundle_NTOCC 2022 | October 23, 2022 | |
| IDEAL Discharge Planning_AHRQ | October 23, 2022 | |
| Re Engineered Discharge (RED) Toolkit_AHRQ | October 23, 2022 | |
| TC Models for HNHC Adults U.S._Prof CM 2020 | October 23, 2022 | |
| The Care Transitions Intervention_Coleman | October 23, 2022 | |
| Transitional Care Management Services_CMS 2021 | October 23, 2022 | |
| Transitions of Care Planning Guide_National Council BH | October 23, 2022 | |
| Transitions of Care Standards_ACMA | October 23, 2022 | |
| Reading Guide: Accessing Data & Identifying Population Trends | November 7, 2024 | |
| Privacy & Confidentiality (ANA, 2024) | November 7, 2024 | |
| National Survey of Children’s Health (DHS, 2021-23) | November 7, 2024 | |
| Wisconsin Pregnancy Risk Assessment Monitoring System (PRAMS) (WI DHS, 2022) | November 7, 2024 | |
| Practice Development Activity_Partnering w High Need Patients | October 23, 2022 | |
| Project BOOST Increases Pt Understanding of Tx and FU Care _ PSNet AHRQ 2021 | October 23, 2022 | |
| CMSA Professional Statement Against Social Injustice & Intolerance_2022 | October 23, 2022 | |
| Connected Care Toolkit_CMS C2C_2022 | October 23, 2022 | |
| Enhanced National CLAS Standards_HHS_OMH | October 23, 2022 | |
| Ensuring_Access_to_Quality_Care_Vulnerable Populations_Ac Med 2018 | October 23, 2022 | |
| Highlights_Future of Nursing_4.30.21_final | October 23, 2022 | |
| The Better Care Playbook_RNCM Practice Resource | October 23, 2022 | |
| The Rise of Equity Minded Nurses _ Campaign for Action 2022 | October 23, 2022 | |
| What Care Management Means_AJMC_06_2020 | October 23, 2022 | |
| Improving Care Transitions to Drive Pt Outcomes_Prof CM 2019 | October 23, 2022 | |
| Medication Reconciliation Steps_MATCH Toolkit AHRQ | October 23, 2022 | |
| Reading & Resource Guide: Population Health Models in Practice | November 20, 2024 | |
| A Balanced Investment Portfolio for Equitable Health & Well-Being is an Imperative (Health Affairs, 2018) | November 20, 2024 | |
| Nurse-Led Initiatives Improve Population Health (JONA, 2020) | November 20, 2024 | |
| Using Z Codes (CMS, 2023) | November 19, 2024 | |
| Improving the Collection of Z Codes (CMS, 2023) | November 19, 2024 | |
| Lecture Handout: Designing Population Health Interventions | November 19, 2024 | |
| Reading Guide: Designing Population Health Interventions | November 19, 2024 | |
| Health Literacy Universal Precautions Toolkit, 3rd Ed. (AHRQ, 2024) | November 19, 2024 | |
| Too Close for Comfort: Leveraging Identify-Based Relevance through Targeted Health Information Backfires for Black Americans (J of Communication, 2023) | November 19, 2024 | |
| Framing Health Literacy: A Comparative Analysis of National Action Plans (Health Policy, 2019) | November 19, 2024 | |
| Practice Dev Activity_Effective Use Technology_RNCM Practice_National RN PDC | October 9, 2022 | |
| Lecture Handout: Population Health Models in Practice | November 20, 2024 | |
| Equity Promoting Integrated Care: Definition & Future Development (Int J Integrated Care, 2023 | December 3, 2024 | |
| Lecture Handout: Leading & Guiding Practice Change in Population Health | December 3, 2024 | |
| Reading & Resource Guide: Leading & Guiding Practice Change in Population Health | December 3, 2024 | |
| Blueprint for Complex Care_Executive Summary_CHCS 2018 | October 23, 2022 | |
| Care Management Issue Brief_Practice, Policy, Research_AHRQ | October 23, 2022 | |
| Chronic Care Management_MLN 2022 | October 23, 2022 | |
| Health Insurance & Payment_Lecture Handout_6 per page | August 22, 2022 | |
| Improving Health Outcomes Lecture Handout_ 6 per page | August 23, 2022 | |
| National Accountability Dashboard for Quality_IHS 2019 | August 23, 2022 | |
| National Quality Fact Sheet_AHRQ 2017 | August 23, 2022 | |
| Practice Dev Activity_Improving Health Outcomes | August 23, 2022 | |
| Quality at IHS | August 23, 2022 | |
| CMS National Quality Strategy_CMS 2022 | August 23, 2022 | |
| Quick Summary_Medicare & MedicaidvEligibility & Coverage_2022 | August 22, 2022 | |
| READING GUIDE_Health Insurance & Payment | August 22, 2022 | |
| Lecture Handout_RNCM Communication_Advocacy_Care Planning_6 per page | November 7, 2022 | |
| The Journey of Value Based Purchasing_CMSA Today 2022 | August 22, 2022 | |
| TRICARE Choices in the U.S._Dept Defense | August 22, 2022 | |
| Types of Health Insurance_At a Glance_National RN PDC 2022 | August 22, 2022 | |
| VA Community Care | August 22, 2022 | |
| From Coverage to Care_Healthcare.gov | August 22, 2022 | |
| Health Insurance Terms You Should Know_CMS 2022 | August 22, 2022 | |
| How to Read Your Medical Bills_verywellhealth 2020 | August 22, 2022 | |
| Info for AIAN Applying for Coverage_2020 | August 22, 2022 | |
| Medicare Advantage_ A Policy Primer _ Commonwealth Fund | August 22, 2022 | |
| New Protections_Surprise Medical Bills_DHHS 2022 | August 22, 2022 | |
| Practice Dev Activity_Health Insurance & Payment | August 22, 2022 | |
| 10 Important Facts about IHS & Health Insurance_IHS Fact Sheet | August 22, 2022 | |
| 10 Things to Know about Medicaid_KFF Issue Brief 2019 | August 22, 2022 | |
| About VA Health Benefits _ Veterans Affairs | August 22, 2022 | |
| Apply For or Renew Health Insurance Marketplace_Healthcare.gov | August 22, 2022 | |
| Lecture Handout_US Health Policy Shaping Healthcare_6 per page | August 22, 2022 | |
| READING GUIDE_Improving Health Outcomes | August 23, 2022 | |
| The CMS National Quality Strategy_ A Person Centered Approach to Improving Quality _ CMS | August 23, 2022 | |
| The IHI Triple Aim_Inst Healthcare Improvement | August 23, 2022 | |
| To Err is Human_IOM Report Brief 1999 | August 23, 2022 | |
| VA Quality & Pt Safety_VA 2022 | August 23, 2022 | |
| VA Standards for Quality_Fed Register 2019 | August 23, 2022 | |
| What is the National Quality Strategy_RWJF 2012 | August 23, 2022 | |
| Why Measuring Healthcare Outcomes Important _Health Catalyst 2022 | August 23, 2022 | |
| READING GUIDE_Partnering w High Need Patients | October 23, 2022 | |
| Accelerating Pop Health Improvement_BMJ 2021 | October 23, 2022 | |
| Medicare Payment for RN Care Coordination_ANA Ex Summary | August 17, 2022 | |
| Medicare Payment for RN Care Coordination_ANA Whitepaper 2017 | August 17, 2022 | |
| Practice Dev Activity_Health Policy | August 17, 2022 | |
| READING GUIDE_Health Policy | August 17, 2022 | |
| The State of the ACA Report_2022 | August 17, 2022 | |
| What is a PCMH_PCPCC Infographic | August 17, 2022 | |
| What’s at Stake for Nurses & Patients without the ACA_ANA Infograph | August 17, 2022 | |
| Emerging Roles & RNCM Practice_ Lecture Handout_6 per page | August 22, 2022 | |
| ACO Care CoordinationToolkit_CMS 2019 | August 17, 2022 | |
| ACO Case Study Care Transformation Toolkit_CMS 2021 | August 17, 2022 | |
| Defining the PCHM_AHRQ 2021 | August 17, 2022 | |
| Ensuring PMCH Serves Patients w Complex Needs_AHRQ Brief | August 17, 2022 | |
| Historical Timeline_Policy Shaping U.S. Healthcare_National RN PDC | August 17, 2022 | |
| Mandate from the pandemic_Nurses as policy leaders_Int Nsg Review 2022 | August 17, 2022 | |
| Social Determinants of Health & Practice Improvement Toolkit (AHRQ, 2023) | January 18, 2024 | |
| Accountable Health Communities Health Related Social Needs Screening Tool (CMS) | January 18, 2024 | |
| The Everyone Project Social Needs Screening Tool (AAFP) | January 18, 2024 | |
| PRAPARE: Protocol for Responding To & Assessing Patient Assets, Risks & Experiences (NACHC) | January 18, 2024 | |
| RWJF – ATLAS Tools for Determining a Community’s Health | January 18, 2024 | |
| A Community Toolkit for Addressing Health Misinformation (U.S. Public Health Service/Office of the U.S. Surgeon General, 2021) | January 18, 2024 | |
| Confronting Health Misinformation: The U.S. Surgeon General’s Advisory on Building a Healthy Environment (HHS.gov 2021) | January 18, 2024 | |
| Resilient Wisconsin: Pursuing Health Equity through Upstream Prevention (WI Dept Health Services) | January 18, 2024 | |
| Quick Guide to Emergency Preparedness Terms (WCN/National RN) | January 18, 2024 | |
| Basic Preparedness (FEMA) | January 18, 2024 | |
| Rural Emergency Preparedness and Response Toolkit (Rural Health Information Hub, 2024) | January 18, 2024 | |
| Plan Ahead – Action Plans (CDC Office of Readiness & Response) | January 18, 2024 | |
| Backpack Emergency Card (CDC) | January 18, 2024 | |
| Prepared Caregivers: A Toolkit for Caregivers of Veterans for Disaster Preparedness (U.S. Dept. of Veterans Affairs | Rosalynn Carter Institute for Caregivers, 2023) | January 18, 2024 | |
| Health Emergency and Response: Trainings (WI DHS) | January 18, 2024 | |
| Health Emergency and response: Disaster Volunteer Services (WI DHS) | January 18, 2024 | |
| The 10 Essentials of Public Health (CDC, 2023) | January 18, 2024 | |
| Using Trauma Informed Care to Guide Emergency Preparedness and Response (Wolkin, A. -CDC Public Health Matters Blog, 2018) | January 18, 2024 | |
| Resilient Wisconsin: Moving Prevention Upstream (Wisconsin Dept of Health Services, 2024) | January 18, 2024 | |
| A Whole Community Approach to Emergency Management: Principles, Themes and Pathways for Action. (FEMA FDOC 104-008-1, 2011) | January 18, 2024 | |
| What You Can Do to Promote Antiracism at Work (Healthy Nurse/Healthy Nation, 2024) | February 13, 2024 | |
| Navigating Implicit Bias as a Nurse (Healthy Nurse/Healthy Nation, 2024) | February 13, 2024 | |
| Enhanced National CLAS Standards | February 13, 2024 | |
| Social Determinants of Health & Social Needs Model | February 13, 2024 | |
| Guide to Posted Resources | February 13, 2024 | |
| COVID-19 Social Stigma Guide (IFRC/UNICEF/WHO) | February 13, 2024 | |
| Integrative TBC to Improve Clincial Outcomes_NNCC 2018 | June 23, 2024 | |
| Creating Pt Centered Team Based Primary Care_AHRQ 2014 | June 23, 2024 | |
| Lecture Handout: Part 1 – The Shift to Team-Based Care | June 23, 2024 | |
| Part 1 – The Shift to Team-Based Care Reading Guide | June 23, 2024 | |
| Taking Team Based Care to the Next Level_AAFP 2022 | June 23, 2024 | |
| Team Based Care to Improve Blood Pressure Control _ CDC 2024 | June 23, 2024 | |
| Ten Principles of Patient Centered Care_IHI | June 23, 2024 | |
| What Is Patient Centered Care_NEJM Catalyst 2017 | June 23, 2024 | |
| OpenNotes_For Professionals_FAQs_RWJF 2017 | June 23, 2024 | |
| CV Care Centered on Patient_Key to Improved Equity & Outcomes_AHA 2024 | June 23, 2024 | |
| Questions Are the Answer_AHRQ 2022 | June 23, 2024 | |
| Health Literacy Fact Sheet_CHCS | June 23, 2024 | |
| Digital Literacy_SDoH_Internet Interventions 2022 | June 23, 2024 | |
| 34courseequitymindedteambasedcarepart2evide | June 23, 2024 | |
| CPG_Shared Decision Making POCKET_HealthQuality.va.gov | June 23, 2024 | |
| SHARE Approach_A Model for Shared Decision Making_AHRQ 2020 | June 23, 2024 | |
| Shared Decision Making As A Method of Care_BJM 2023 | June 23, 2024 | |
| Connected Care Toolkit_CMS C2C_2022 | June 23, 2024 | |
| RN Role Development_National RN Case Manager_Care Manager Certificate Program | June 23, 2024 | |
| Accelerating Pop Health Improvement_BMJ 2021 | June 23, 2024 | |
| RN Role Development_National RN Pop Health Nurse Certificate Program | June 23, 2024 | |
| AHC Health Social Needs ScreeningTool_CMS 2018 | June 23, 2024 | |
| Everyone Project Social Needs Screening Tool_AAFP | June 23, 2024 | |
| PRAPARE Assessment Tool_NACHC | June 23, 2024 | |
| Screening Social Needs in HC Settings_Nat Review_The Playbook 2022 | June 23, 2024 | |
| Lecture Handout: Part 2 – Evidence-Based Practice Strategies Equity Minded Teams Can Use | July 10, 2024 | |
| Public Health Interventions (Population-Based) (Minnesota Dept of Health, 2019 | November 4, 2024 | |
| Wisconsin State Health Assessment (WI Dept of Health Services, 2020) | November 4, 2024 | |
| Wisconsin State Health Improvement Plan – Summary (WI Dept of Health Services, 2023) | November 4, 2024 | |
| Wisconsin State Health Improvement Plan 2023-2027 – Implementation (WI Dept of Health Services, 2024) | November 4, 2024 | |
| Lecture Handout: Evidence, Prevention & Public Health Concepts | November 4, 2024 | |
| Reading Guide: Evidence, Prevention & Public Health Concepts | November 4, 2024 | |
| Nurse Executive Competencies_PopHealth_AONL | October 6, 2024 | |
| Domain 3_Population Health_The Essentials_AACN | October 6, 2024 | |
| Population Health in Nursing_CCNA Infographic 2021 | October 6, 2024 | |
| Harnessing the Power of Nurses to Build PopHealth in 21st Century_RWJF 2017 | October 6, 2024 | |
| Nursing & the Evolution of Pop Health_Am Nurse 2023 | October 6, 2024 | |
| READING GUIDE_Emerging Population Health Nurse Roles | October 6, 2024 | |
| Lecture Handout: Emerging Population Health Nurse Roles | October 8, 2024 | |
| Upstream_SDoH & Social Needs Model_Future of Nursing Report 2020 30 | October 10, 2024 | |
| PopHealth Alignments w Major Legislation | October 10, 2024 | |
| READING GUIDE_Policy & System Drivers of Population Health | October 10, 2024 | |
| Population Health_A Nursing Action Plan_JAMIA Open 2018 | October 10, 2024 | |
| Population Health_ Learning from the Past to Shape the Future _ IHI 2019 | October 10, 2024 | |
| What is Population Health_Kindig & Stoddard 2003 | October 10, 2024 | |
| Pop Health_Proactive Solutions_Healthy Outcomes_2020 HI J Health | October 10, 2024 | |
| Accelerating Population Health Improvement_BMJ 2021 | October 10, 2024 | |
| Lecture Handout: Policy & System Drivers of Population Health | October 10, 2024 | |
| Lecture Handout: Accessing Data & Identifying Population Trends | November 7, 2024 | |
| Lecture Handout: Value Based Care, Quality & Health Outcomes for Populations | October 16, 2024 | |
| Key Terms & Resource Directory for Equity Centered Payment Reform_Rec by CMS | October 17, 2024 | |
| Quality in Motion_Acting on the CMS National Quality Strategy_CMS 2024 | October 17, 2024 | |
| Reading Guide: Value Based Care, Quality and Health Outcomes | October 16, 2024 | |
| Ch 4_The Role of Nurses in Improving Health Care Access_Quality_FoN 2020 2030 | October 16, 2024 | |
| The CMS Strategy to Promote Equity in Q & Value Programs_JAMA 2023 | October 16, 2024 | |
| Value Based Care_What It Is_Why Needed_Commonwealth Fund 2023 | October 16, 2024 | |
| The Triple The Triple Aim_ Why We Still Have a Long Way to Go _ IHI Insights 2019 | October 16, 2024 | |
| Reading Guide_Collaborative Partnerships Across the HC Continuum | October 20, 2024 | |
| Building Effective Health System-Community Partnerships: Lessons from the Field (CHCS, 2021) | October 20, 2024 | |
| A Population-Based Approach to Integrated Health Care Delivery: A Scoping Review on Clinical Care and Public Health Collaboration (BMC Public Health, 2019) | October 20, 2024 | |
| Improving Population Health Through Community-Wide Partnerships (Commonwealth Fund, 2024) | October 20, 2024 | |
| 2023 National Healthcare Quality and Disparities Report. (AHRQ, 2023) | October 20, 2024 | |
| Guidance for Healthcare Entities Partnering with Community-based Organizations (HCPLAN/HEAT, 2024) | October 20, 2024 | |
| Lecture-Handout_Collaborative-Partners-Across-the-Health-Continuum | October 21, 2024 | |
| Population Health Pyramid | October 21, 2024 | |
| 10 Core Principles of the Vision for a Culture of Health (RWJF) | October 21, 2024 | |
| READING GUIDE_Integrating Public Health with Population Health | October 23, 2024 | |
| Public Health Intervention Wheel (Population-based) (U of Minnesota, 2019) | October 23, 2024 | |
| The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity (NASEM, 2021) | October 23, 2024 | |
| Integrating Social Care into the Delivery of Health Care (NASEM, 2019) | October 23, 2024 | |
| Community/Public Health Nursing Competencies (Quad Council Coalition, 2018) | October 23, 2024 | |
| Competencies for Population Health Professionals (Public Health Foundation, 2019) | October 23, 2024 | |
| The Quintuple Aim for Healthcare Improvement (JAMA, 2022) | October 23, 2024 | |
| Lecture Handout: Integrating Public Health with Population Health | October 25, 2024 | |
| Ten Essentials of Public Health | October 25, 2024 | |
| Quintuple Aim | October 25, 2024 | |
| Standards of Practice for CMs_CMSA 2022 | February 5, 2025 | |
| Active Learning Collaborative Faculty Welcome & Overview | January 15, 2025 | |
| Schedule at a Glance – Jan 16 – Feb 27, 2025 | January 15, 2025 | |
| Population Health Active Learning Collaborative Syllabus | January 15, 2025 | |
| Handout: Neighborhood Nursing: A Primary Care Population Health Model | January 15, 2025 | |
| Population Health Pyramid | January 15, 2025 | |
| Practice Development Activity/Application Guide | January 15, 2025 | |
| Lecture Handout_Emerging Roles & RNCM Practice_ 2 per page | October 1, 2025 | |
| Lecture Handout_Health Insurance & Payment_2 per Page | October 1, 2025 | |
| Lecture Handout_Improving Health Outcomes_2 per page | October 1, 2025 | |
| Lecture Handout_US Health Policy Shaping HC_2 per page | October 1, 2025 | |
| Lecture Handout_Effective Use of Technology_2 per page | October 1, 2025 | |
| Lecture Handout_Partnering with High Need Patients_2 per page | October 1, 2025 | |
| Lecture Handout_Principles of PCC_2 per page | October 1, 2025 | |
| Lecture Handout_RNCM Role in Safe, Effective Transitions_2 per page | October 1, 2025 | |
| Lecture Handout_Health Behavior Change_2 per page | October 1, 2025 | |
| Lecture Handout_Pt Engagement & SMS_2 per page | October 1, 2025 | |
| Lecture Handout_RNCM Communication_Advocacy_Care Planning_2 per page | October 1, 2025 | |
| Lecture Handout_RNCM Role in Primary Care_2 per page | October 1, 2025 | |
| Lecture Handout_RNCM Leadership_2 per page | October 1, 2025 | |
| Lecture Handout_RNCM Networking & Resources_2 per page | October 1, 2025 | |
| Lecture Handout_RNCM Role in LTSS_2 per page | October 1, 2025 | |
| Lecture Handouts_Partnering with Family Caregivers_2 per page | October 1, 2025 | |
