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PCH Program Curriculum


Core Modules

All participants are required to take all core modules to complete the course 

  1. Introduction to Integrated Care Management in the Patient-Centered Medical Home
  2. Effective Patient-Centered Care Plans
  3. Networking in the Medical Neighborhood
  4. Fostering Patient Activation Through Shared Decision Making
  5. An Introduction to Motivational Interviewing
  6. Effective Use of Registries to Improve Care for High-Risk Patients

Elective Modules (Select at least 9)

Special Populations

  • Care Management for Patients with Housing Insecurity
  • Working With Children and Families
  • Working with Older Patients
  • Working With and Caring For Caregivers

Biomedical Topics 

  • Cardiovascular Disease 101
  • Helping Patients Achieve Healthy Lifestyles for Weight Reduction
  • Diabetes Care: What Everyone Needs to Know
  • Behavior Change For Chronic Illness Management
  • Helping Patients With Chronic Pain
  • Caring for Patients with Chronic Obstructive Pulmonary Disease (COPD)

Psychosocial Topics

  • The Care Manager’s Role in Care for Patients with Trauma and PTSD
  • Identifying and Managing Mental Health Crises
  • Working With Unhealthy Substance Use
  • Smoking Cessation: What a Care Manager Can Do
  • Working With Patients with Serious and Persistent Mental Illness

Note: Participants can customize their experience of the course. Successful completion of a minimum of 9 self-selected elective modules and all core modules is required for course credit. No additional credit is granted if additional electives are taken.  All modules are available for participants to view.