Education > Best Practices > Cross Setting II BPIP

Cross Setting II BPIP

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Although most chronic disease processes do not change, the tools which support the education of patients, families and staff do.  In the Cross Setting II BPIP, you will find the most current evidence-based tools to educate your population on disease management in diabetes, heart failure, COPD and palliative care as well as the Chronic Care Model (CCM). 
 
The Cross Setting II BPIP also includes a foundational and advanced review of self-care management and telehealth
 
Examples of specific tools and resources included in this BPIP are:
  • Home Telehealth Disease Management Series including COPD, Heart Failure & Diabetes
  • “My Action Plan” in Spanish, Chinese, and English
  • “Personal Health Record”
To locate the main package, use the Material Type: Best Practice Intervention Package filter below.

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Patient Selection Criteria: COPD
Patient Selection Criteria: COPD
Consider telehealth options when patients meet these criteria (OASIS Answers)
 
Self-Care Workbook: Heart Failure
Self-Care Workbook: Heart Failure
Developed by OASIS Answers to help patients manage their condition
 
Self-Care Workbook: Diabetes
Self-Care Workbook: Diabetes
Developed by OASIS Answers to help patients manage their condition
 
Self-Care Workbook: COPD
Self-Care Workbook: COPD
Developed by OASIS Answers to help patients manage their condition
 
Patient Encounter Documentation Tool: COPD
Patient Encounter Documentation Tool: COPD
Clinician worksheet developed by OASIS Answers
 
Decision Support Tool: COPD
Decision Support Tool: COPD
Flowchart developed by OASIS Answers to help improve outcomes by supporting standardized practice
 
Clinician Education Tools: COPD
Clinician Education Tools: COPD
Developed by OASIS Answers to help improve outcomes by supporting standardized practice 
 
Flowchart: Reducing ACH among High-Risk Patients
Flowchart: Reducing ACH among High-Risk Patients
Identify patients who are at risk for acute care hospitalization and implement interventions
 
Comprehensive Motivational Interventions (CMI)™
Comprehensive Motivational Interventions (CMI)™
A pragmatic, stepped-care application of MI using Brief Action Planning (B.A.P.)™

 
Telemonitoring Success Stories
Telemonitoring Success Stories
Three agencies in Tennessee, Georgia, and New Jersey share their ACH-reduction success stories
 
How to Actively Engage Patients to Change Health Behavior
How to Actively Engage Patients to Change Health Behavior
Article by Melinda H. Huffman of the National Society of Health Coaches
 
Cross Setting II BPIP
Cross Setting II BPIP
Evidence-based tools to educate your population on disease mgmt (diabetes, heart failure, COPD), self-care and telehealth
 

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