Care Coordination Best-Practices Toolkit
Best-Practices Toolkit Collaborating with partners, providers, patients, families, ... Interventions may consist of written, visual, or recorded discharge plans that include and consider follow-up appointments, medications, ... conversations and communication, and simulations with the patient and family members. 4.
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Skilled Nursing Facility Care Coordination Toolkit
www.hsag.comKaiser Health News. 2014. Available at: ... QAPI Worksheet to Create a Performance Improvement Project (PIP) Sample A completed sample PIP related to ... (HSAG) for an in-depth analysis of your resident rehospitalization score. •Keep a running log of your discharges/
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