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!!!COACH MANUAL!The Camden Coalition of Health Care ProvidersNovember 2016Manual prepared in partnership with PolicyLab, Children’s Hospital ofPhiladelphia.Camden Coalition of Healthcare ProvidersBrian Akers, Laura Buckley, Gayle Christiansen, Kelly Craig, Margaret Hawthorne, Marsha Johnson,Andrew Katz, Renee Murray, Victor Murray, Katharine Royer, Victoria SalePolicyLab, Children’s Hospital of PhiladelphiaKathleen Noonan, Leigh Wilson, Cynthia Mollen, Meredith Matone, Katherine Kellom!!
!TABLE OF CONTENTS!Introduction e!Providers! 1!!!Overview!of!COACH! 3! History!and!Theoretical!Background! Overview!of!COACH! Target!Population!and!Inclusion!Criteria!! Graduation! niques!and!Tools ies 13!!Observe!Normal!Routine 19!!Assume!a!Coaching!Style 24!!Check!Backwards!Plan !31!!Highlight!Progress!with!Data !35!!Supervision!and!Training !37!!!Outcomes!and!Evidence !39! TrackVia! Randomized!Control!Trial!!Glossary!of!Key!Concepts 41!!Appendix 44!! Care!Management!Enrollment!Intake!! Care!Planning!Domain!Descriptions! Creating!a!Backwards!Plan!Instructional!Guide!! Highlight!Data!with!Progress!Templates!(3)!o Template!1!o Template!2!o Template!3! BiGWeekly!Case!Conferencing!Script! Care!Management!Triage!Worksheet!!!
r!bolded!terms!can!be!found!in!the!GLOSSARY OF KEY CONCEPTS.!!BACKGROUND OF THE CAMDEN COALITION OFHEALTHCARE PROVIDERS (THE !!! !Page!1!!
!two!or!more!times!in!six!months!(see!OVERVIEW OF !payment!and!delivery!models.!!FIGURE 1. THE COALITION’S INTENSIVE CARE MANAGEMENT ers!! !Page!2!!
!OVERVIEW OF COACH!History and Theoretical IC HEALING on!request.!!7!Ibid. !Page!3!!!
!Refer!to!the!Coalition’s!CARE PLANNING FOR PATIENTS WITH FREQUENTHOSPITALIZATIONS ries!of!behavior!change:!! r!health!and!social!challenges.!!! use,!mental!health!issues,!and!homelessness.!! herapy,!19!(3):!276G288.!! !Page!4!!
!Overview of framework!is:!! C:!Connect!Plan!with!Vision!and!Priorities!! O:!Observe!the!Normal!Routine! A:!Assume!a!Coaching!Style! C:!Check!the!Backwards!Plan! que!needs!(See!ADMINISTERING COACH’STECHNIQUES AND !and!tools!(See!FIGURE nd!progress.!!!!FIGURE 2. COACH TECHNIQUES AND TOOLS! !Page!5!!
!GOALS OF o:! ports!(person!or!system).! nt.!Refer!to!ADMINISTERING COACH’S TECHNIQUES !the!intervention.!!!!! !Page!6!!
!IDENTIFYING A LONG-TERM ENORMAL progress!and!challenges.!!Target Population and Inclusion !two!of!the!following!criteria:! ! melessness.!!!
with!a!long!term!support!(see!OVERVIEW OF COACH).!See!ASSUME A COACHING ing and .!!!!!!! !Page!8!!
!The Coalition’s Care Management Team (Care !of!the!Care!Team!are:!! !the!Community!Health!Worker.!!! ing!with!transportation,!when!needed).!!!Clinical Support dress!patient!clinical!needs!!! mGsolve!challenges.!Refer!to!SUPERVISION AND !!! ts!are!met.!! e!for!patients.!!! !Page!9!!
! avioral!health!issues.!! ers!who!are!employed!by!the!Hospital.!!! PCP!while!they!are!still!admitted.!!!Supervisory am!development.!!See!SUPERVISION AND TRAINING!for!information!on!staff!training.!!!! !Page!10!!
!ADMINISTERING COACH’S TECHNIQUES AND chniques!and!tools!(see!FIGURE 2).!!Techniques:!! Observe!a!Normal!Routine! Connect!Tasks!with!Vision!and!Priorities! Assume!a!Coaching!Style!!!Tools:!! Check!a!Backwards!Plan! lationship!(See!GLOSSARY OF ors.!See!FIGURE !!!Page!11!!
!FIGURE 2. COACH TECHNIQUES AND TOOLS ess.!!!!!!! !Page!12!!
!C: CONNECT PLAN WITH LONG-TERM VISION AND PRIORITIES!Overall !core!needs!can!be!found!below.!!!Key Terms!Dominant core needs!fall!into!three!categories:! ognized.! nd!have!social!support.! !needs”!when!a!Care!Team!!Page!13!!
ons.!!!!“Tug of war” s,!it!is!important
Manual prepared in partnership with PolicyLab, Children’s Hospital of Philadelphia. Camden Coalition of Healthcare Providers Brian Akers, Laura Buckley, Gayle Christiansen, Kelly Craig, Margaret Hawthorne, Marsha Johnson, Andrew Katz, Renee Murray, Victor Murray, Katharine Royer, Vic
