Webinar and power point presentations

  • Webinar and power point presentations

    New Roles for RNs in Primary Care

    LEAP Learning Community Webinar May 7, 2014. This webinar "New Roles for RNs in Primary Care" looks at the new and more robust roles for RNs, featuring speakers from 4 LEAP sites: St. Luke's Eastern Oregon Medical Associates, Harvard Vanguard Medical Associates, Martin's Point, and Community Health Centers, Inc.

  • Webinar and power point presentations

    The RN role in collaborative care visits - presentation slides

    These are slides that one LEAP site presented to their health system about the return on investment on having RNs functioning with a high level of autonomy. In this model, RNs conduct 1-hour Collaborative Care visits for patients with chronic diseases, during which the provider joins the RN for the last 15 minutes. They showed that collaborative care visits resulted in high quality care, increased care team member satisfaction, and reduced costs.

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    Attribution: 
    Martin's Point Healthcare
  • Webinar and power point presentations

    Webinar: the emerging role of nurses in primary care

    Learn about the emerging roles for nurses in this webinar featuring LEAP sites. This is part of a great series of webinars on Advancing Team-based Care organized by Community Health Center, Inc. Slides are also available at http://weitzmaninstitute.org/NCA

Role featuresJob descriptions, career ladders and other HR materials

  • Role features

    The RN Role Reimagined: How Empowering RNs Can Improve Primary Care

    Learn strategjes for changing the RN role in primary care, in this comprehensive resource developed by the Center for Excellence in Primary Care (CEPC) and the California HealthCare Foundation (CHCF).

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    Attribution: 
    The Center for Excellence in Primary Care and the California HealthCare Foundation
  • Role features

    "Share the Care" Assessment of Team Roles and Tasks

    This is an example of a planning tool, to assess who is currently doing what tasks in your practice and then who should be doing each task, based on how we learned that LEAP sites define clear roles and responsibilities. Task distribution will vary from practice to practice, but the tool is in the discussion about roles that this worksheet can stimulate. Your practice may be able to redestribute tasks in a way that better fits your workforce and patient needs.

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  • Role features

    Nursing roles in a Collaborative Care Model

    Learn about the various roles that RNs play in the team-based collaborative care model at one LEAP site, depicted in this diagram that describes team roles to patients. The Collaborative Care Nurse works with a PCP to manage chronic disease and provide health coaching. The RN Care Coordinator does care transitions and works with the most complex patients in the practice. Leadership developed new roles for nurses to best use their skills and training.

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    Attribution: 
    Dartmouth-Hitchcock Keene
  • Role features

    Registered Nurse—Primary Care Job Description

    Here is the job description of the team RN role at one LEAP site, Harvard Vanguard Medical Associates, reflecting the responsibilities and skills required to work at the top of the RN license. RNs have demonstrated positive clinical outcomes in patients at risk for cardiovascular disease following the implementation of a program that allowed RNs to titrate medications for hypertension, diabetes, and hyperlipidemia.

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    Attribution: 
    Harvard Vanguard Medical Associates
  • Role features

    Staff Nurse Ambulatory (RN) Job Description

    Learn about the role of the Nurse care manager in diabetes management at one LEAP site, Cambridge Health Alliance–Union Square Family Health. Nurses provide increasing levels of education, support, and “touches” with patients based on the patient’s level of risk and control of A1c's.

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    Attribution: 
    Cambridge Health Alliance–Union Square Family Health
  • Role features

    Clinic Nurse Manager Role Description

    Read a description of the Care Team RN/Nurse care manager role at one LEAP site, West County Health Centers, reflecting the responsibilities and skills required to work at the top of the RN license. Nurse care managers have their own panel of patients who need more support and clinical monitoring to improve health outcomes.

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    Attribution: 
    West County Health Centers, Inc.
  • Role features

    Collaborative Care RN Job Description

    Learn about a new role for nurses in primary care that one LEAP site developed. The Collaborative Care Nurse is a team RN who helps patients manage stable chronic diseases and does some patient education and health coaching.

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    Attribution: 
    Dartmouth-Hitchcock Keene

Publications

  • Publications

    Collaborative Care: Partners in Chronic Disease

    See how one LEAP site redesigned its care model to empower RN roles for better results. Leadership prepared this presentation on collaborative care in which nurses are important partners with PCPs and patients in chronic disease care.

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    Attribution: 
    Dartmouth-Hitchcock Keene
  • Publications

    RN Flip Visit resources

    Learn how one LEAP site, Clinica Family Health Services, enables RNs to work to the top of their training and skills. In flip visits, an RN conducts acute visits with patients with a PCP. This document provides guidelines for implementing this innovative approach to team-based patient care that also improves access.

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    Attribution: 
    Clinica Family Health Services

WorkflowTemplates, flow sheets and mapping aids

  • Workflow

    Care Team Workflow: Provider, RN, MA, and Front Office

    This care team workflow, from LEAP site West County Health Centers, shows how the work is distributed across care team members. West County intentionally developed their care team model so that RNs could work to the top of their license and skillset. That involved distinguishing critical triage needing a nurse's advice from other types of calls, and sharing critical triage among the RNs in shifts.

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    Attribution: 
    West County Health Centers, Inc.
  • Workflow

    RN Protocol for short term follow-up

    There are some types of telephone follow-ups on a short-term patient need that are most appropriate for an RN to do, given the clinical expertise or discretion that is needed. West County Health Centers helps to make the distinction in this protocol, as a guideline for what needs an RN or what can be handled by another team member.

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    Attribution: 
    West County Health Centers, Inc.
  • Workflow

    RN Outreach for Cardiovascular Risk Reduction Enrolled patients

    See an example of protocol for titrating medications developed by one LEAP site, Harvard Vanguard Medical Associates, for RNs to use when needed while conducting outreach to patients at risk for cardiovascular disease.

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    Attribution: 
    Harvard Vanguard Medical Associates

LEAP Learning ModuleOther helpful topics included in this website

Clinical protocolStanding orders, risk stratification forms and hospital transition protocols

  • Clinical protocol

    RN Diabetes Medication Titration Protocol

    See an example of standing orders for titrating diabetes medications developed by one LEAP site, Harvard Vanguard Medical Associates, for Team RNs to use, when needed, while conducting outreach to patients at risk for cardiovascular disease.

    Download
    Attribution: 
    Harvard Vanguard Medical Associates
  • Clinical protocol

    RN Hypertension Medication Titration Protocol

    See an example of standing orders for titrating hypertension medications developed by one LEAP site, Harvard Vanguard Medical Associates, for RNs to use, when needed, while conducting outreach to patients at risk for cardiovascular disease.

    Download
    Attribution: 
    Harvard Vanguard Medical Associates
  • Clinical protocol

    RN LDL Protocol

    See an example of standing orders for titrating hyperlipidemia medications developed by one LEAP site, Harvard Vanguard Medical Associates, for RNs to use, when needed, while conducting outreach to patients at risk for cardiovascular disease.

    Download
    Attribution: 
    Harvard Vanguard Medical Associates
  • Clinical protocol

    Nurse Protocols

    See a collection of nurse protocols that maximize clinical skills and streamline care for patients, from LEAP site Clinica Family Health Services. The first half are to guide treatment following positive lab results, and the section half are for conducting nurse-only visits.

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    Attribution: 
    Clinica Family Health Services

Staff trainingTutorials, training manuals, etc.

  • Staff training

    Nurse Orientation Checklist

    Here is a checklist used to guide RN orientation and training at one LEAP site, West County Health Centers, Inc. This reflects the leadership and clinical competencies that an RN must demonstrate after shadowing and training to fulfill the care ceam nurse/care manager role.

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    Attribution: 
    West County Health Centers, Inc.