Identification and Stratification and Care Management

Activity description

Risk stratification helps health care professionals (HCPs) identify their sickest patients and categorize them according to their severity level. Data that identifies social determinants of health (SDOH) and their associated health care challenges can also be incorporated into the risk stratification processes. Using risk status information when managing a patient can support care management decisions that can improve care. This activity will discuss risk stratification, its benefits and the impact it has on care management decisions and overall outcomes.

Provided by
This activity is provided by OptumHealth Education and Optum Care.

Commercial support
No commercial support was received for this activity.

Hardware/Software Requirements
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Target Audience

This activity is designed to meet the educational needs of case managers, physicians, nurses and social workers that use risk stratification to support care management decisions.

Learning Objectives

At the end of this educational activity, participants should be able to:

  • Define risk stratification and its benefits.
  • Explain the importance of access to data that identify SDOH that can be used in the risk stratification process.
  • Describe the impact of risk stratification on care management decisions and overall outcomes.
Activity summary
Available credit: 
  • 1.00 AMA
  • 1.00 ANCC
  • 1.00 Attendance
  • 1.00 CCMC - General
  • 1.00 ASWB
Activity opens: 
07/15/2021
Activity expires: 
07/15/2024

Faculty/Planners
Sarah Chart, RN
Vice President
OptumHealth Education

Rebecca Gleason, RN, CCM
Clinical Planner
OptumHealth Education

Lolly Bilous, MSN, RN, CCM
Training Consultant 
Clinical Adherence and Remediation
Clinical Consistency and Safety
Clinical Performance
Optum Care

Maureen Sanders, RN, BSN, MBA
Sr. Director
Clinical Consistency & Safety
Medical Management Implementation
Optum

Leanne B. Schmiesing, MBA
Director, Healthcare Economics
Optum

Valerie Ventura, MSN, RN
Vice President
Clinical Adherence and Remediation
Clinical Consistency and Safety
Clinical Performance 
Optum Care

Tiffany Younts, MSN, RNC-OB, CCM
Training Consultant 
Clinical Adherence and Remediation
Clinical Consistency and Safety
Clinical Performance
Optum Care

Disclosures of relevant financial relationships
In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, OptumHealth Education (OHE) requires all those in control of educational content to disclose their financial relationships with ineligible companies within the prior 24 months. Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. Individuals must disclose all financial relationships, regardless of the amount, with ineligible companies and regardless of their view of the relevance of the relationship to the education. OHE ensures that the content is independent of commercial bias.

The activity faculty or planners have no financial relationships to disclose.

Method for calculating CE credit
CE credit was calculated by the complexity of content.

Accreditation Statement
Joint LogoIn support of improving patient care, this activity has been planned and implemented by OptumHealth Education and Optum Care. OptumHealth Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.

Credit Designation Statements

Nurses
The participant will be awarded up to 1.00 contact hours of credit for attendance and completion of supplemental materials.

Nurse practitioners
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

Physicians
OptumHealth Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PAs
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

Social workers
ACE LogoAs a Jointly Accredited Organization, OptumHealth Education is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. OptumHealth Education maintains responsibility for this course. Social workers completing this course receive 1.00 enduring continuing education credits.

Case managers
The Commission for Case Manager Certification has approved this program for a maximum of 1.00 clock hours for Certified Case Managers (CCM).

Attendance
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been pre-approved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization with which they wish to obtain credit.

Available Credit

  • 1.00 AMA
  • 1.00 ANCC
  • 1.00 Attendance
  • 1.00 CCMC - General
  • 1.00 ASWB
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