Nurse Care Manager/Care Coordinator Standardized Core Curriculum (xGLearn) Application

Introduction:
The Care Transformation Collaborative of Rhode Island (CTC-RI) was awarded a $150,000 grant from United Healthcare to purchase access to core curriculum licenses for on-line learning modules that will benefit 100 nurse care managers and care coordinators in CTC-RI primary care practices. Practices that are currently in or previously participated in a CTC contract may apply. Non-CTC practices may apply though a separate application process which will require a payment for use of the license.

CTC Rhode Island has contracted with xG Health Solutions to provide a blended educational learning experience for Care Managers and Care Coordinators. Faculty members, selected by CTC-RI and trained by xG Health Solutions, will facilitate the NCM/CC learning experiences. Additionally, nurses will have the opportunity to earn RN CEU’s and CCM credits that can be applied for Case Management certification.

The education model has several phases;
a)	Web Based interactive modules;
b)	NCM/CC Faculty facilitated Telephonic Collaboration sessions with a cohort of other NCM/CC;
c)	WebEx “Go to Meetings”  based Case Study Capstone Presentation facilitated by each learner

Benefits of Obtaining the Core Curriculum Training for Nurse Care Manager /Care Coordinator:

There is a strong business case for having nurse care managers and care coordinators complete the standardized care management training program:

•	This training will provide the organization  and  primary care practices with a standardized evidence based method for on-boarding  new nurse care managers/care coordinators;
•	New and experienced nurse care managers and care coordinators will learn to apply key care management concepts such as: stratification and priority setting, criteria based level of care determination, care management approaches for targeted high risk conditions, and medical home work flow for implementing practice redesign;
•	NCM/CC will work with a cohort of other NCM/CC with supervised learning from faculty that have been specially trained and certified by xG Learn; faculty will be able to assist learners with applying what they have learned and utilizing Rhode Island resources to assist patients;
•	The core curriculum license will provide the NCM/CC will access to all 18 on-line learning modules and obtain up to 43 continuing education credits; These credits can additionally be applied for care management certification

Practice Site/Clinician Responsibility:
Please consider carefully your commitment to completing the xGLearn care management on line training program before signing this application. Each license costs more than $1500.00 and is not transferable once it is assigned to a NCM/CC.
Both practice leadership and clinician are asked to read and sign the agreement indicating your commitment to complete the learning sessions with the assigned cohort and abide by intellectual property xG Learn requirements.

Time Commitment:
Curriculum topics, including associated time frames for module completion for new, experience and pediatric staff can be found here:

It is recommended that new NCM/CC with less than 1 year experience participate in all 18 modules (time: 43 hours).

Experienced NCM’s can elect to join a cohort that covers all 18 modules or elect to participate with a cohort that has 8 modules (27 hours).

Pediatric care coordinators will be assigned to cohort that has 14 modules (27 hours) and will have access to all 18 modules.

Directions for completing the application:
1)	Complete NCM/CC Core Curriculum application including information on the person(s) who will be participating in the training program;
2)	Review, sign and adhere to agreement that outlines confidentiality and use restrictions;
3)	Provide NCM/CC with support time for completing learning modules and coaching sessions; Some of the training time may occur during non-work time at the NCM/CC expense;
4)	Provide NCM/CC with time to participate in the weekly scheduled 1 hour telephonic conference sessions with the NCM/CC faculty. While the telephonic conference calls will be taped, it is expected that the NCM/CC participate in as many of the “real time” scheduled telephonic calls as possible.

Training Timeline*:
Date /timeline	Activity	
June 1, 2017	Applications due	
June 5, 2017	Applications approved	
June 9, 2017	Learner will be assigned to a NCM/CC cohort (7 to 10 other learners)	
June 12th—14th	Faculty member will contact assigned NCM/CC and establish a schedule for the weekly telephonic conference sessions;	
June 26th—September 15th (excludes
holiday weeks)	Learners will be assigned to complete self-study components each week during the timeframe and participate in weekly one hour conference calls; Note: conference calls will be recorded so that learners can continue to participate in training curriculum when there are scheduling conflicts.	

Due Date: 6/1/17 Submit Application and signed xGLearn licensing agreement via email to:  
Candice Brown
Email: Candice.Brown@umassmed.edu  
Office telephone number: 401-528-3277

CTC NCM/CC Core Curriculum Application
Organization Name (if applicable)	CTC relationship:
Currently in contract: Yes/No Past CTC participant Year ended:	
Site Contact Person: Position:	Email: Phone:	
IT person Name
Needed if there is a problem with meeting system requirements identified below  N/A	Email: Phone:	

Learning option:
NCM/CC Name *	Email: Phone:	
Practice Site	Address	

 	NCM has less than 1 year experience in the role of NCM/CC and will participate in 18 learning modules (43 hours); NCM/CC has more than 1 year experience and will participate in 18 learning modules

 	NCM has more than 1 year experience working as a NCM and will participate in 8 learning modules (27 hours) 

 	CC will be participating in 14 learning modules (27 hours)

*Practice may copy above box when applying for more than one NCM/CC

Practice Restrictions:
On a routine basis, NCM/CC is unable to participate in scheduled telephone conference calls on

Monday:	AM/PM	Tuesday:	AM/PM	
Wednesday:	AM/PM	Thursday:	AM/PM	
Friday:	AM/PM			

Limits on number of NCM/CC that can participate in cohort:  	

IT Browser System Requirements:
xG Health Learning can be accessed with the following browser versions: Indicate compatible browser that is available to you:
•	Internet Explorer 10 or higher
•	Mozilla Firefox
•	Google Chrome
•	Safari 3.3.3 or higher on a PC, 4.0 or higher on a Mac
In the contract signed by CTC-RI, we agreed to the following:
•	xGLearn™ care management online training modules are the intellectual property of xGLearn and therefore may only be used by the individual authorized/licensed by CTC to participate in CTC-sponsored xGLearn care management training
•	Licensees will not use, copy, perform, display, modify, create derivative works, merge, distribute otherwise exploit the xGLearn™ care management training modules

“I have read the above and agree to abide by the stipulations agreed to in the contract between CTC-RI and xGLearn™. I agree that I will direct any questions I have to CTC leadership who are most knowledgeable about the xGLearn contractual agreement. A copy of the contract is available upon request.”

Practice/Provider Signature	Date

Nurse Care Manager/Care Coordinator Signature	Date

For Internal Tracking
Date application received:	Date application approved:	
Date NCM/CC notified :	Date faculty notified:	
Cohort assigned:	Notes:	

	

	Care Management Education Curriculum and Timeline: 
New Care Manager	

	
Course Module Titles	Module Viewing Time	Estimated Self-Study                Component	Collaboration Call                                     Time Commitment	Proposed Date and Time	
Prerequisite Reading	Not Applicable	180-240 minutes		Prior to kickoff meeting	
Collaboration Session—Kick Off Intro to Course			1 Hour	Week of June 26	
	
Collaboration Session One:  Week of July 10	
Introduction To Education Series The                                                                                             xG Health/Geisinger Health Plan Model	40 Minutes	(Prerequisites) 	30 Minutes		
Population Based Case Management-An Intro	80 Minutes	90-120 minutes	30 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	1 Hour	 	
Collaboration Session Two:  Week of July 17	
Transitions of Care 	70 Minutes	15-30 Minutes	 60 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	 	 	
Education Session Three:  Week of July 24	
Population Based Case Management  Concepts 	45 minutes	N/A	15 Minutes		
Patient Populations-Identification,                                                                                                  Stratification, and Priority Setting	50 Minutes	Not Applicable	30 Minutes		
					
Total Time 	 	 	 	 	
Collaboration Session Review Modules
	 	 	 	 	
Collaboration Session Four:  Wednesday Week of July 31	
The Triple Aim-Case Manager’s Role In Achieving	60 Minutes	Not Applicable	15 Minutes		
					
Right Care, Right Place, Right Time-Criteria Based Level Of Care Determination	45 Minutes	60-120 Minutes	 30 Minutes  		
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	 	 	
Collaboration Session Five :  Week of Aug 7	
Effective Communication Techniques In Team Based Care 	60 Minutes	N/A	30 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules:  	 	 	 	 	
Collaboration Session Six: Week of Aug 14	
					
Time Management	60 Minutes	15-30 Minutes	30 Minutes		
Concept Of The Medical Home	50 Minutes	Not Applicable	15  Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules:  	 	 	 	 	
Collaboration Session Seven: Week of Aug 21	
					
Five Core Components of The Medical Home	90 Minutes	30-60 minutes	30  Minutes		
Stakeholders Role In The Medical Home	40 Minutes	N/A	30 Minutes  		
Total Time 	 	 	 	 	
Collaboration Session Review Module: 	 	 	 	 	
Collaboration Session  Eight: Week of August 28	
Medical Home Meeting	60 Minutes	N/A	30 Minutes  	 	
Medical Home Workflow-Implementing Practice Redesign	45 Minutes	N/A	15 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session  Nine: Week of Sept 4	
Introduction to Targeted Conditions: Guidelines 	35 minutes	90-120 minutes 	30 Minutes  		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session  Ten: Week of Sept 11	
Targeted Condition:  COPD	    65 Minutes	60-90 minutes	60 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session  Eleven: Week of Sept 18	
Targeted Condition:  Heart Failure	120 Minutes	90-120 minutes	60 Minutes	 	
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session  Twelve: Week of Sept 25	
Targeted Condition:  Diabetes Mellitus	100 Minutes	60-120 minutes	60 Minutes	 	
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
					
Coaching #1				Week of Oct 2	
Coaching #2				Week of Oct 9	
Coaching #3				Week of Oct 16	
Capstone				Week of Oct 23	

	

	Care Management Education Curriculum and Timeline: 
Experienced Care Manager	

	
Course Module Titles	Module Viewing Time	Estimated Self-Study                Component	Collaboration Call                          Time Commitment	Proposed Date and Time	
Prerequisite Reading 	Not Applicable	180-240 minutes	 	Prior to kickoff meeting 	
Collaboration Session—Kick Off Intro to Course 	 	 	1 Hour	Week of June 26	
	
Collaboration Session Week One:  Week of July 10	
Introduction To Education Series The                                                                                              xG Health/Geisinger Health Plan Model	40 Minutes	(Prerequisites) 	30 Minutes		
					
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	1 Hour	 	
Collaboration Session Week Two:  Week of July 17	
Introduction to Targeted Conditions: Guidelines 	35 minutes	90-120 minutes	30 minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	 	 	
Collaboration Session Week Three:  Week of July 24	
Introduction to Targeted Conditions: Guidelines 	35 minutes	90-120 minutes	30 minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	 	 	
Week Four:  Wednesday Week of July 31	
No call this week	
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	 	 	
Collaboration Session Week Five :  Week of Aug 7	
Targeted Condition:  Heart Failure	120 Minutes	90-120 minutes	60 minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules:  	 	 	 	 	
Week Six: Week of Aug 14	
No call this week	
Total Time 	 	 	 	 	
Collaboration Session Review Modules:  	 	 	 	 	
Collaboration Session Week Seven: Week of Aug 21	
Targeted Condition:  Diabetes Mellitus	100 Minutes	60-120 minutes	60 minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Module: 	 	 	 	 	
Week  Eight: Week of August 28	
No call this week	
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session  Week Nine: Week of Sept 4	
Targeted Condition: COPD	65 Minutes	60-90 minutes	60 minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Week Ten: Week of Sept 11	
No call this week	
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session Week Eleven: Week of Sept 18	
Transitions of Care 	70 minutes	15-30 minutes	30 minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session- Week Twelve: Week of Sept 25	
Time Management	60 Minutes	60-90 minutes	30 minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
					
Coaching #1				Week of Oct 2	
Coaching #2				Week of Oct 9	
Coaching #3				Week of Oct 16	
Capstone				Week of Oct 23	

	

	Care Management Education Curriculum and Timeline: 
Pediatric Care Manager	

	
Course Module Titles	Module Viewing Time	Estimated Self-Study                Component	Collaboration Call                                     Time Commitment	Proposed Date and Time	
Prerequisite Reading 	Not Applicable	180-240 Minutes		Prior to kickoff meeting	
Collaboration Session—Kick Off Intro to Course 	 	 	1 Hour	Week of June 26	
Collaboration Session One:  Week of July 10	
Introduction To Education Series The                                                                                                 xG Health/Geisinger Health Plan Model	40 Minutes	(Prerequisites) 	30 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	1 Hour	 	
Collaboration Session Two:  Week of July 17	
The Triple Aim-Case Manager’s Role In Achieving	60 Minutes	Not Applicable	15 minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	 	 	
Education Session Three:  Week of July 24	
Population Based Case Management-An Intro	80 Minutes	90-120 Minutes	15 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	 	 	
Collaboration Session Four:  Wednesday Week of July 31	
Population Based Case Management  Concepts 	45 Minutes	N/A	15 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules	 	 	 	 	

Collaboration Session Five :  Week of Aug 7	
Patient Populations-Identification,                                                                                                  Stratification, and Priority Setting	50 Minutes	Not Applicable	30 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules:  	 	 	 	 	
Collaboration Session Six: Week of Aug 14	
Right Care, Right Place, Right Time-Criteria                                                                               Based Level Of Care Determination	45 Minutes	60-120 Minutes	30 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules:  	 	 	 	 	
Collaboration Session Seven: Week of Aug 21	
Concept Of The Medical Home	50 Minutes	Not Applicable	15 Minutes		
Medical Home Workflow-Implementing Practice Redesign	45 Minutes	Not Applicable	15 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Module: 	 	 	 	 	
Collaboration Session  Eight: Week of August 28	
Five Core Components of The Medical Home	90 Minutes	30-60 minutes	30 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session  Nine: Week of Sept 4	
Stakeholders Role In The Medical Home	40 Minutes	Not Applicable	15 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session  Ten: Week of Sept 11	
Medical Home Meeting	60 Minutes	Not Applicable	30 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session  Eleven: Week of Sept 18	
Time Management	60 Minutes	60-90 Minutes	30 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
Collaboration Session  Twelve: Week of Sept 25	
Transitions of Care 	70 Minutes	15-30 Minutes	30 Minutes		
Effective Communication Techniques 	60 Minutes	Not Applicable	15 Minutes		
Total Time 	 	 	 	 	
Collaboration Session Review Modules: 	 	 	 	 	
					
Coaching #1				Week of Oct 2	
Coaching #2				Week of Oct 9	
Coaching #3				Week of Oct 16	
Capstone				Week of Oct 23