Care Coordination Plan Template

Care coordination involves the deliberate organization of patient care activities between two or more participants including the patient involved in a patients care to facilitate the appropriate delivery of health care services care coordination is a key function of the medical home.

Care coordination plan template. Care planning care coordination the ability to create and implement integrated care plans ensuring access to an array of linked services and the exchange of information among consumers family members and providers. Section 411 implementpatient action plan 4 other reason the care coordination encounter may not be reimbursed in the same manner as an office visit refer to the health risk assessment tool to determine if there are other functional areas that need attention. Co ordinated care plan template. Section 412 implementcare coordination task plan and weekly schedule 3 suggested approach to planning and scheduling cc tasks 1 review the care coordinator job description general tasks to be performed identified above tips for effective time management and status of the ccc program as represented.

The care plan may be accessed via a secure portal a hospital platform a web based care management application a. Vas integrated care team shares necessary documents and information regarding the veterans care through community viewer or azure rights management services azure rms. Minutes of care coordination. Patient care plan template care plan playbook assessment domains recorded webinars self management support.

Care planning templates and resources to support establishing a reasonable process in your practice for shared care planning that incorporates self management support goal setting and action planning. Comprehensive care plan a person centered electronic care plan based on a physical mental cognitive psychosocial functional and environmental reassessment and an inventory of resources a comprehensive. Guide for completion introduction. The purpose of the coordinated care plan ccp template is to have a standardized and concise reference guide about what is important to know about a patient if you are providing care or being asked to join the patients circle of care providers.

If after hours care is provided by a clinician who is not part of the practice such as for call coverage that individual must have access to the electronic care plan other than by facsimile. Implement care coordination plan. Policy an d educational resources. Follow up and complete episode.