Module D: Transdisciplinary Care

CE Credits: 1.25

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Given our complex and rapidly evolving healthcare environment, good organization is needed to improve our delivery of care and streamline the process for patients and hospitals. This module explains that process by looking at how transdisciplinary and inter-organizational collaboration can help prevent avoidable complications, delays in care, and hospital admissions. The module then details the breadth of the entire team, and looks at how better physician involvement—such as doing bedside rounds, leading the utilization management committee (UMC), and using a physician’s advisor—can help boost effectiveness and efficiency. Finally, the module looks at one other vital team member: the patient, and how CMs can help improve patient involvement through shared decision making (SDM), which is a more active process than traditional informed consent.

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Learning objectives: After completing this module case managers will be able to:
» Discuss communication and collaboration
» Describe transdisciplinary team care in UM
» Review key elements of physician participation and documentation requirements
» Identify the role and value of physician advisors
» Review strategies to facilitate patient participation and shared decision making

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Advance your professional practice: As influential members of the transdisciplinary team, CMs can guide and affect care delivery. The more we understand how we can make the most of our team, the more we can help our patients.

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Improve organizational performance: Because our healthcare system tends to be disjointed and vulnerable to unnecessary prescribing, tests and hospital stays, it is vital that our entire team works together to streamline the delivery of care.