
0829_SHSO_Sutter Care Management Team Meeting_Live
Description:
This session will facilitate the integration of the Advanced Illness Management (AIM) and Value Based Care Management (VBCM) teams into one cohesive unit with a shared purpose and direction, while establishing standardized processes to support the integrated team in ensuring continuity of care. Participation in this meeting will prepare the care management team to transform the care management program in ways that help reduce the total cost of care, ultimately enabling us to serve more value-based care (VBC) patients. Implementing standardized processes will also help reduce friction and workarounds, improve efficiency, streamline workflows, and minimize duplication across teams.
Assembly Bills 1195 & 241- Culturally Appropriate Care which is Free of Implicit Biases:
Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:
- Baker, D. W. (2024). Achieving Health Care Equity Requires a Systems Approach. The Joint Commission Journal on Quality and Patient Safety, 50(1), 1–5. https://doi.org/10.1016/j.jcjq.2023.10.018
Target Audience
Nurse Practitioner (NP)
Physicians (MD or DO)
Physician Assistants
Nurse, Registered (RN)
Social Workers
Learning Objectives
After attending this activity, learners will be able to:
1. Describe the different stages of change and how they affect individual and team adaptation.
2. Identify common sources of resistance and emotional responses to change and strategies to address them effectively.
3. Analyze the organizational impact of change on workflows, culture, and outcomes.
4. Develop a personalized action plan to apply change management strategies within your role or team.
5. Understand how NCQA requirements guide care management processes
6. Describe “Age-Friendly” care as defined by the Institute for Healthcare Improvement (IHI) and other external entities.
7. Learn the Pillars of Age Friendly care = the 4M’s
8. Distinguish how Age-Friendly Home Health (AFHH) care both reinforces current Sutter Health standards and provides tools to improve patient health outcomes.

Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest
No one involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.
– Provider Designee/Verification: Fozia Ferozali, Ed.D.
Irina Goykhman, RN, BSN, MBA
Kay Nye, RN
Sara Trott, LCSW
Kylie Wyeth
Natalie Campbell, Principal Leadership & Organization Development Consultant
Lynette Gutnik
Edward Kersh
Kerri Maya, RN, PhD(c), MSL, RN, NPD-BC
Susan Stephenson, MSN, MBA, RN, CCM-BC
Accreditation

In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
Credit Designation Statement
Sutter Health designates this LIVE activity for a maximum of 4.00 AMA PRA Category 1 Credits™ for physicians, 4.00 continuing professional development contact hours for nurses, and 4.00 general continuing education credits for social workers. Learners should claim only the credit commensurate with the extent of their participation in the activity.
Note to Other Disciplines: Non-Physician Participation Credit (AKA - AMA PRA Category 1 Credits HOURS™) Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
Available Credit
- 4.00 AMA PRA Category 1 Credit™
Physician Credit
Sutter Health designates this Live activity for a maximum of 4.00 AMA PRA Category 1 Credit™ for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 4.00 Non-Physician Participation Credit
Sutter Health designates this Live activity for a maximum of 4.00 Non-Physician Participation Credit. Non-Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AMA PRA Category 1 Credits HOURS™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
- 4.00 ANCC
Nursing Credit - American Nurses Credentialing Center (ANCC)
Sutter Health designates this Live activity for a maximum of 4.00 ANCC contact hour(s). Nurses should claim only the credit commensurate with the extent of their participation in the activity.
- 4.00 ASWB-ACE
Social Work Credit
As a Jointly Accredited Organization, Sutter Health 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. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 4.00 continuing education credits.
- 4.00 CA BRN
Nursing Credit - California Board of Registered Nursing (CA BRN)
This activity is approved for 4.00 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Nurses should claim only the credit commensurate with the extent of their participation in the activity. - 4.00 IPCE
This activity was planned by and for the healthcare team, and learners will receive 4.00 Interprofessional Continuing Education (IPCE) credit for learning and change.

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