Care Coordination As A Model of Care

Care  Coordination as a Model of Care

Course Expires: 7/31/2019

 If you are purchasing this course the cost is $50.00.

Course Description:  The goal of care coordination is high-quality referrals and transitions that meet the six Institute of Medicine "Quality Chasm" aims for high-quality health care, and assure that all involved providers, institutions and patients have the information and resources they need to optimize a patient’s care. The Model looks at care coordination from the perspective of a patient-centered medical home (PCMH). It considers the major external providers and organizations with which a PCMH must interact—medical specialists, community service agencies, and hospital and emergency facilities—and summarizes the elements that appear to contribute to successful referrals and transitions. Those elements include:

  • Assuming accountability

  • Providing patient support

  • Building relationships and agreements among providers (including community agencies) that lead to shared expectations for communication and care

  • Developing connectivity via electronic or other information pathways that encourage timely and effective information flow between providers (including community agencies) 

Target Audience:  Social Workers, Nurses, Licensed Psychology Counselors, and AHEC.

Learning Outcomes:

At the end of this presentation, the learner will be able to:

  • compare and contrast the benefits and challenges to integrating multidisciplinary teams into a care coordination model.
  • identify strategies to address barriers within multidisciplinary teams.
  • develop strategies to building and sustaining effective multidisciplinary teams

Instructor:  Macie P. Smith, Ed.D., LBSW, C-SWCM

Credit Statements:

Social Workers: This program has been approved for 2 clock hours of social work continuing education by Upstate AHEC, as part of the SC AHEC system, under its accreditation by the SC Board of Social Work Examiners.

Licensed Professional Counselors and Therapists:  This program has been approved for 2 hours of continuing education by SC AHEC under its accreditation by the SC Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists and Psycho-Educational Specialists.

Licensed Nurses:  Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

 Upon successful completion of this program, attendees will receive 2 contact hours. 

AHEC Credit: This educational offering provides 0.2 CEUs (2 clock hour) by Upstate AHEC and meets SC AHEC Best Practice Standards.

Disclosure Statement:

Upstate AHEC's conflict of interest policy requires faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.

The speaker(s) has/have signed a vested interest form declaring no conflict of interest in educational activities.

Provisions of this educational activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity.


 The process for enrolling in AHECU courses has changed. Please go to and click the blue AHECU/Distance Education block to register for online courses.  There is a tutorial on the web site if you need assistance with the registration process.