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0990_SHSO_ July Care Progression Capstone_Live
Description:
The Care Progression Capstone is an interdisciplinary educational program designed to advance leading practices in care progression, patient throughput, and transitions of care. Although Sutter Health has established a standardized Care Progression Playbook to guide patient progression activities across the system, variation in adoption and workflow execution continues to exist among sites and service lines. Current opportunities include improving consistency in discharge planning processes, optimizing use of Epic tools, strengthening interdisciplinary collaboration, and aligning practices among case management, physicians, nursing, pharmacy, and post-acute care partners. This educational activity will provide evidence-based, data-driven strategies to improve length of stay (LOS), discharge efficiency, readmission reduction, and equitable transitions of care while addressing social drivers of health (SDOH), implicit bias, and evolving regulatory requirements.
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:
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:
SDOH/Implicit Bias:
- Sutter Health SDOH SharePoint SDOH Landing Page with links to the toolkit, training video, & dashboard https://teamsutter.sutterhealth.org/contents/38847452
- American Medical Association. Quality ID #487: Screening for Social Drivers of Health ; November 2022: Version 7 https://qpp.cms.gov/docs/QPP_quality_measure_specifications/CQM-Measures/2023_Measure_487_MIPSCQM.pdf
Target Audience
Nurse Practitioner (NP)
Nurse, Registered (RN)
Physicians (MD or DO)
Physician Assistant (PA)
Social Workers
Physical Therapists
Learning Objectives
By the end of this learning activity, participants will be able to:
1. Utilize Epic tools and data resources to support discharge readiness, LOS management, and care progression.
2. Apply standardized Care Progression Playbook practices to improve patient throughput and discharge efficiency.
3. Implement interdisciplinary care progression strategies that strengthen collaboration across the continuum of care.
4. Integrate social drivers of health, regulatory requirements, and bias-aware decision-making into transition-of-care planning.
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.
Robert ElDabaje
Adi Osidipe, RN, BSN, MBA, ACM-RN
Anastasia Adams, Anastasia Adams, MA, LCSW - Manager of Care Coordination
Vilma Aguilar Pifer, MSN, RN, IQCI
Kelly Collard, RN, BSN, MSN, PHN
Annashriya Das
Liddy Deacon, MSHCM, FACHE, CPXP
Fiona Dennison, RN, BSN, Nursing Informatics Board Certified
Erin English, DNP, MSN, RN, PHN, IQCER
Bryanna Gallaway, MPA-HSA, CPXP
Holly Goetz, MSW, LCSW
Ana Herrera, RN BSN, ACM
Ruth Illescas, RN, BSN, ACM-RN Care Coordination Manager
Cheryl Kanallakan
Cathy Kennedy, Physical Therapist
Rowena Sylvia Kramer, Registered Nurse
Keith Lagnese
Misti Meador, RN, BSN, MBA, CCM
Amanda Movall
Adi Osidipe, RN, BSN, MBA, ACM-RN
Siofra Rice
Jennifer Simmons, LCSW
Molly Tillgren, MSN, RN, ACM-RN PCCN-Alumnus
Susie Tombs
Deborah Wafer, BSN, RN, ACM-RN
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), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Designation Statement
Sutter Health designates this LIVE activity for a maximum of 5.50 AMA PRA Category 1 Credits™ for physicians, 5.50 continuing professional development contact hours for nurses, 5.50 general continuing education credits for social workers, and 5.50 approved continuing competency hours for physical therapists. 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
- 5.50 AMA PRA Category 1 Credit™
Physician Credit
Sutter Health designates this Live activity for a maximum of 5.50 AMA PRA Category 1 Credit™ for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 5.50 Non-Physician Participation Credit
Sutter Health designates this Live activity for a maximum of 5.50 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.
- 5.50 ANCC
Nursing Credit - American Nurses Credentialing Center (ANCC)
Sutter Health designates this Live activity for a maximum of 5.50 ANCC contact hour(s). Nurses should claim only the credit commensurate with the extent of their participation in the activity.
- 5.50 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 5.50 continuing education credits.
- 5.50 CA BRN
Nursing Credit - California Board of Registered Nursing (CA BRN)
This activity is approved for 5.50 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. - 5.50 IPCE
This activity was planned by and for the healthcare team, and learners will receive 5.50 Interprofessional Continuing Education (IPCE) credit for learning and change.
- 5.50 PTBC
Physical Therapy Board of California
Sutter Health designates this Live activity for a maximum of 5.50 PTBC credit(s). Physical therapists should claim only the credit commensurate with the extent of their participation in the activity.