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http://www.ihi.org/education/Documents/ProgramMaterials/CDCMillionHeartsBloodPressureProject/SelfManagementSupport_RolesandTasksinTeamCare.pdf
Self-Management Support Roles and Tasks in Team Care • Use a Planned Care Visit encounter with patients to focus on aspects of care that typically are not delivered during an acute care visit. The team’s objective is to deliver evidence-based clinical management and patient self-management support at
http://www.improvingprimarycare.org/work/self-management-support
Self-management support is a collaborative process that empowers patients to take better care of themselves by setting realistic goals and action plans to reach them. It can be delivered in a class or group setting—or as part of the primary care visit. Effective self-management support helps patients acquire: Disease-specific information and ...
https://www.healthteamworks.org/resource/self-management-support-during-after-visit
Collaboratively develop a visit agenda with the patient and family, ideally no more than 2-3 topics, and plan return visits as appropriate. Engage the entire practice team in supporting patients, use warm handoff introductions, and explain team member roles to patients.
https://rmsresults.com/2014/08/18/4-tasks-of-a-care-manager-patient-centered-medical-homes-pcmh/
4 Tasks of a Care Manager Patient-Centered Medical Homes (PCMH) ... or emergency room visits who would likely benefit from care management support. The second task of a care manager is to perform a ... Patients need to be reminded of their importance in the process and be prepared for their collaborative role in the decisions needed for self ...
http://www.improvingchroniccare.org/downloads/selfmanagement_support_toolkit_for_clinicians_2012_update.pdf
Partnering in Self-Management Support: A Toolkit for Clinicians ―Self-management support is the assistance caregivers give to patients with chronic disease in order to encourage daily decisions that improve health-related behaviors and clinical outcomes. Self-management support may be viewed in two ways: as a portfolio
http://www.selfmanagementbc.ca/uploads/What%20is%20Self-Management/PDF/Self-Management%20Support%20A%20health%20care%20intervention%202011.pdf
Self-Management Support: A Health Care Intervention 7 By articulating self-management as tasks, skills and confidence to deal with medical, role, and emotional management and by using the term self-management support to describe what health care providers can do to facilitate it, Adams et al. (2004) have brought greater clarity to the picture.
https://www.stratishealth.org/documents/HITToolkitcoordination/3-Establishing-the-Care-Team-Roles-and-Communications.pdf
Establishing the Care Team: Roles and Communications This tool provides an overview of the new roles of health care professionals in a community-based care coordination (CCC) program, and describes why communication among the health care team is vitally important for patient safety and satisfaction, as well as for satisfactory
https://www.ahrq.gov/sites/default/files/publications/files/ptmgmt.pdf
• Communication between primary care physicians and self-management support staff. For a program that seeks to change patient behavior, a key underlying consideration is the need ... people with different skills for different tasks. Training and protocols for the care managers are important program components. Training is
http://www.improvingchroniccare.org/downloads/understanding_goal_setting_action_planning.doc
Since self-management is a new role for patients, prepare them by introducing the concept of self-management, and the importance of their active participation. Help the patient understand that they are the managers of their health, and that you and their healthcare team will support and assist them.
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