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Coaching Program

Duration: 1-2 Weeks Each nurse is onboarded as per the expectation in their own health system. In addition to local training, the university team provides ~ 6-8 hours of introduction to the IC4 processes. Orientation activities include:

  • Nurse onboarding processes
  • Primary care team introductions
  • Coaching introduction
  • Orientation didactics:
    • Principles of Care Coordination
    • Shared Plans of Care
    • Care Coordination Processes and Process Management
    • Resources, Coaching and the Collaborative

Duration: Initial 6 Months (~3 hours per week) Each nurse joints a cohort of other new care coordinators to attend weekly virtual didactics, weekly one-on-one virtual coaching sessions with an experienced and trained care coordination coach and monthly statewide team meetings with the full community of care coordinators.

  1. Process and quality improvement coaching
  2. Case-based consultations
  3. Resource playbook distribution
  4. High intensity didactics with topics including:
  • A. Communication in Care Coordination
    • Motivational Interviewing: The basics
    • Navigating Sensitive Topics and Difficult Conversations
    • Trauma Informed Care
  • B. Population Health
    • Health Equity and Bias
    • Health Literacy Universal Design
    • Quadruple Aim –Quality, Cost, Family and Team Satisfaction
    • Social Determinants of Health – Beyond Medical Needs
  • C. Professional Development
    • Conflict management: De-escalation
    • Quality Improvement: In day-to-day work
    • Self-Care and Resilience: Boundaries and Ethics
  • D. Family Needs
    • Anticipating life transitions
    • Childcare, education, community services
    • Durable Medical Equipment and Supplies
    • Family and Social support
    • Goal setting: proactive, prioritized, lifecourse, strengths approach
    • Medicaid Basics
    • Medicaid HCBS waivers
    • Taking actions

Longitudinal ~3 hours per month Upon completion of the 6-month curriculum, each care coordinator joins the ongoing learning collaborative as a community of practice. Activities include:

  • Ad hoc and monthly coach case-based consultation
  • Quality improvement reporting and planning
  • Continuing education sessions
  • Resource updates