Care coordination and transition management
[DOC File]ACCREDITATION STANDARDS FOR AN EDUCATIONAL …
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Describe the role of the occupational therapy assistant in care coordination, case management, and transition services in traditional and emerging practice environments. B.5.8. Modify environments (e.g., home, work, school, community) and adapt processes, including the application of ergonomic principles.
[DOC File]American Academy of Ambulatory Care Nursing
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Care coordination and transition management roles are needed to support achievement of the Triple Aim: improving quality of care to individuals, improving the health of communities and simultaneously reducing costs. Comprehensive strategies are needed to assure patients and families experience seamless care provided by interprofessional care ...
[DOCX File]Care Coordination Program Description
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Care Coordination team members routinely evaluate the ICP and corresponding goals to evaluate the member’s progress, update when necessary, and support the member in optimizing independence. Members with care needs that exceed the scope of Transitions of Care may move to Complex Case Management for intensive care coordination support.
[DOCX File]Care Coordination – Blue Cross and Blue Shield of Minnesota
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May 06, 2018 · TRANSITIONS OF CARE (TOC) LOG. TOC tasks should be completed by the CC within one (1) business day of notification of each transition. Follow up contact with member is required after return to their usual care setting. Note: If CC finds out about the transitions fifteen (15) days or more after the member has returned to their usual care setting ...
Care Coordination - Spokane County, Washington
4.4.3.During transitions in responsibility for care for Individuals who transition to in Medicaid eligibility from a MCO to or from the CSHCD SCRBH, the CSHCD SCRBH shall provide care coordination with the MCO to ensure treatment records and safety concerns related to an Individual’s BH disorder, and care plans are transitioned between the ...
[DOC File]FOR IMMEDIATE RELEASE - MSNCB
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The exam was developed in collaboration with the American Academy of Ambulatory Care Nursing (AAACN), and is based on AAACN's Care Coordination and Transition Management Core Curriculum. For more information about the CCCTM exam, including eligibility, exam …
[DOCX File]Tool 9: Transitional Care Planning
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Interdisciplinary Care Planning and Coordination. Obtain high-risk readmission team consult. Contact an MCO, ACO, PCMH, health home care manager, as applicable. Contact community clinical, behavioral, and social service providers. Obtain pharmacist consult . Obtain social work consult. Obtain pain management or palliative care consult, as ...
[DOC File]Chapter 11: Service Coordination in EarlySteps
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Transition Support Coordination – The support coordinators who provide services to people who transition from an OCDD Supports and Services Center, a private Intermediate Care Facility for people with Developmental Disabilities (ICF/DD), a Nursing Facility, or hospital, the support coordinator will:
[DOCX File]www.cfhp.com
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Transition of hospitalized Members to outpatient care. Coordination of medical and/or behavioral health resources that may benefit Members during this transition and ensure their compliance with follow-up care. We believe this approach best addresses the overall well-being of each Member.
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