Learning Collaborative – Coordinating Care and Optimizing Teams for Data Driven Clinical Outcomes

Date(s) - 04/24/2018 - 07/17/2018
12:00 am



To effectively manage chronic conditions (like diabetes) among patients in vulnerable communities, providers must utilize and optimize data-driven care teams that support patients through the cascade of care.  Successful care teams collaborate not only within the health center, but also within patient communities using secure, interoperable health IT solutions.  By incorporating community partners and stakeholders as part of the medical neighborhood, care teams can coordinate care that meets a patient’s needs in and outside of the provider’s office.

The National Nurse-Led Care Consortium (NNCC)  is convening a learning collaborative of health centers interested in enhancing care coordination efforts to improve clinical outcomes for patients.


Healthcare staff: QI and Practice Managers, Providers, Nurses, Medical Assistants, Front Desk Staff, EMR System Administrators, QI Managers

Timelines and Commitment

Participants in this train the trainer learning collaborative will attend 4 learning modules consisting of online learning sessions, resources, and an in-person training. These learning sessions will be hosted from April through July 2018. Health centers will be asked to identify a project lead to help spearhead this work during and after the learning collaborative.  Attending all 4 modules is required to receive a certificate of completion.

Module 1: Identifying High-Performing Teams

April 24, 2018, 12:30pm – 1:30pm

Participants will join a live GoToWebinar sessions facilitated by NNCC>  The session will elucidate the qualities of high-performing care teams and team leaders, including the role of health IT in supporting team-based care.   Participants will engage in a facilitated Q&A session.  Register here for this module.

Time commitment: 2 hours for all learners

Module 2: Assessing Your Health Center

May 16, 2018, 12:30pm – 1:30pm

Participants will assess staff and health IT system readiness for team-based care.  Participants will share assessment results with facilitators to inform a live training around care team formation and optimization.  Register here for this module.

Time commitment: 2 hours for module, 3 additional hours of offline survey work for project leads

Module 3: In-Person Training

June 12, 2018, 10:00am – 3:00pm

Participants will join NNCC facilitators at an in-person training around care coordination through teams and teamwork.  Topics will include:  care team communication, role optimization, community mapping of social determinants of health, how health IT can facilitate team based care, and more.  Register here for this module.

Time commitment: 4 hours for all learners

Module 4: Data Driven Care Coordination

July 17, 2018, 12:30pm – 1:30pm

Participants will join a live, online post-workshop facilitation session with NNCC staff to address their progress towards meeting care team goals.  Participants will review health center data, EMR templates, and other resources.   Register here for this module.

Time commitment: 2 hours for all learners, 2 additional hours for project leads pulling together outcomes. Does not include time spent on post-workshop QI work.

The National Nurse-Led Care Consortium’s Training and Technical Assistance efforts are supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U30CS09736, a National Training and Technical Assistance Cooperative Agreement (NCA) for $450,000, and is 100% financed by this grant. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

For more information, please contact Emily Kane, Program Manager at NNCC, at ekane@nncc.us or 267-765-2332.



Bookings are closed for this event.

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