Transcription of Care Management Toolkit - Mi-CCSI
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Care Management Toolkit - Mi-CCSI
care Management Toolkit Created by and for care Managers SEPTEMBER 21, 2015 MICHIGAN CENTER FOR CLINICAL SYSTEMS IMPROVEMENT 1 Mi-CCSI care Management Guidelines Toolkit Page A. Toolkit List Doing the Work 1. Sample Consent Participating in CM 2. Advance Beneficiary Notice (ABN)..3 3. Interview Guide Initial 4. Follow-up Visit/Call to Initial 5. Initial Assessment 6. Letter Templates: a. Outreach Phone Script and Protocol b. Program Introduction c. Enrollment Letter d. Update e. Unable to Reach f. Case Closure Letter g. Case Closure Letter Unable to 7. CM Process 8. Day in the 9. Motivational Interviewing Tools a. Basics of b. Readiness c. Motivational Interviewing Tips for 10. SMART B.
with your (medication routine, diet, activity, blood sugar testing): _____(First choice) _____ (Second choice) If the patient has priorities different from those that are high risk: o I’d like to share some concerns the provider/care manager has identified as a priority.
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