Medical Training AIChronic Care Management
You'll be able to structure a chronic care management program, from patient identification through care plan development, team workflows, and time-based documentation.
What this track covers
This track covers the operational and clinical building blocks of chronic care management for patients with multiple chronic conditions. It addresses eligibility and enrollment, comprehensive care plan development, care coordination across specialists and community resources, and the documentation standards that support defensible, audit-ready records.
What you will practice
- Identify patients who meet chronic care management eligibility criteria
- Draft a comprehensive, patient-centered care plan with measurable goals
- Coordinate care across specialists, hospitals, and community resources
- Structure time-based documentation to reflect care coordination activities
- Delegate care coordination tasks appropriately within a care team
Simulator scenario
A virtual patient with multiple chronic conditions and a recent hospital discharge, where the clinician builds a care plan and coordinates follow-up across a specialist and a community resource within a realistic time window.
Board question topics
- Chronic care management eligibility criteria
- Care plan components and goal-setting
- Care coordination across settings
- Documentation standards for time-based care activities
Ask the tutor
The tutor only answers from licensed sources (FDA prescribing information, public guidelines and our own material) and says when it has none. Educational use only, never patient-specific advice.
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