ANCC Approved - Coordinating Chronic Care: The Nurses Role in Interdisciplinary Teams

What you'll learn

Course overview

This course equips nurses with the knowledge and practical tools needed to coordinate care for patients living with chronic diseases. It emphasizes the nurses integral role within interdisciplinary teams and explores core principles of collaborative, patient-centered care. Learners will examine key care coordination models, including the Patient-Centered Medical Home and Chronic Care Model, while developing strategies for assessment, planning, documentation, and care transitions. The course also addresses social determinants of health and quality improvement metrics relevant to chronic disease outcomes. Designed for nurses in a variety of settings, this course prepares participants to lead and sustain excellence in chronic care coordination through evidence-based practices and team-based approaches.