AAACN/AONE Joint Statement on The Role of the Nurse Leader in Care Coordination and Transition Management across the Health Care Continuum
The American Academy of Ambulatory Care Nursing (AAACN) and the American Organization of Nurse Executives (AONE) convened in early 2015 for a Day of Dialogue to discuss the role of the nurse leader in Care Coordination and Transition Management (CCTM) across the Care Continuum.
The group, comprised of nurse leaders in acute care and ambulatory care/outpatient settings, and nurse researchers, discussed what is needed to improve patient care coordination and transition management throughout the health care system (acute to outpatient settings and vice versa) and how nurses are well positioned to coordinate and deliver these services to patients.
Through a series of facilitated dialogue, the group developed a joint statement that outlines the strategies needed to enhance care coordination and transition management of patients across the health care continuum.
The Most Important Nursing Role You've Never Heard Of
Beth Ann Swan, AAACN Past-President and co-editor of the Care Coordination and Transition (CCTM) Management Core Curriculum, wrote an article published May 27, 2016 for the 'Nurse Appreciation' campaign by MediaPlanet and distributed nationwide in USA Today.
Her article, entitled "The Most Important Nursing Role You've Never Heard Of," about nurses' crucial role in care coordination, was published online with articles by other nursing leaders. The goal of the campaign was to spotlight nurses and the lifesaving work they do.
Six Strategies for Nurse Leaders in Care Coordination
HealthLeaders Media senior nursing editor Jennifer Thew, RN, highlights key Care Coordination and Transition Management (CCTM) strategies from leaders of AAACN and the American Organization of Nurse Executives (AONE). Outlined in the AAACN/AONE Joint Statement on The Role of the Nurse Leader in Care Coordination and Transition Management across the Health Care Continuum and discussed during the 2016 AONE annual conference, these strategies breakdown what nurse leaders need to know and need to do to implement CCTM in their organizations. View the article.
AMSN has participated in the development of the CCTM Core Curriculum and has endorsed its content.
Academy of Medical-Surgical Nurses (AMSN).
Marianne Sherman, MS, RN-BC, President of AAACN, was interviewed by Jamie Davis on The Nursing Show.
She explains care coordination and discusses why nurses are uniquely qualified to perform Care Coordination and Transition Management (CCTM) and how it will benefit patients.
Marianne also covers our collaboration with the Medical-Surgical Nursing Certification Board on the future certification exam and why nurses should seek this certification.
"The CCTM Core Curriculum and CCTM Course are truly a complete package! My learning curve went up substantially and the more I learned, the more I wanted to know. The more I knew, the more I wanted to put it into practice, and by the completion of the course, I had a confidence that I was now practicing with evidence-based knowledge, skills and abilities.
My patient care improved, my collaboration and coordination skills increased, and the satisfaction with the role I was working in sky rocketed! The best part of this course is that my learning has not ended with the test! I have pulled out the CCTM Core Curriculum several times to use as a reference and gone through each learning module more than once.
Do I recommend it? The answer is without a doubt, 'ABSOLUTELY!' In fact, I'm so sold that our organization is going to provide a way for at least 12 more nurses to become CCTM Certified. Belonging to AAACN and becoming CCTM certified has reminded me again of why I became a nurse in the first place."
-Renee' J Herman, RN, BSN, MHSA, CCCTM; Saint Luke's Home Care and Hospice, Saint Luke's Health System; Kansas City, Missouri
“This Care Coordination and Transition Management Core Curriculum is a just-in-time competency-based resource to guide nurses in the new delivery systems and payment directives.
Building on the six QSEN competencies, the Care Coordination and Transition Management Core Curriculum culminates in care guidelines across nine evidence-based dimensions: Self-management, patient and family education and engagement, communication and transition, coaching and counseling patients and families, nursing process, teamwork and collaboration patient-centered care planning, decision support and information systems, and advocacy.”
Gwen Sherwood, PhD, RN, FAAN
- Co-investigator, Quality and Safety Education for Nursing (QSEN) 2005-2012
- Associate Dean for Academic Affairs and Professor
- University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC
"I just finished the first module of the Care Coordination and Transition Management (CCTM) Course and loved it- very informative, encouraging and applicable to my current role! I intend to complete another module each week, and I know this will benefit ambulatory nursing practice and improve patient outcomes dramatically!!! This is a wonderful opportunity, and I am envisioning my institution creating awareness and encouraging the use of this material."
Lea Nguyen, RNTemple, TX
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