Reducing Care Fragmentation
Reducing Care Fragmentation 3 Effective: Referrals and transitions are based on scientific knowledge, and executed well to maximize their benefit. Patient-centered: Referrals and transitions are responsive to patient and family needs
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Reducing Care Fragmentation Executive Summary
www.improvingchroniccare.orgRELATIONSHIPS & AGREEMENTS Why it’s important: Referrals and transitions work best when all parties— patients, primary care providers, and consultants—
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IMPROVING CARE FOR PEOPLE WITH LONG-TERM …
www.improvingchroniccare.org1 IMPROVING CARE FOR PEOPLE WITH LONG-TERM CONDITIONS AA rreevviieeww ooff UUKK aanndd iinntteerrnnaattiioonnaall fffrrraaammmeewwoorrkkss HSMC
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Welcome to Your Personal Health Record
www.improvingchroniccare.orgShared Care Plan for _____, page __ of __. CONFIDENTIAL Care Team Emergency Contacts Your Emergency Contact is the person you would like called first should you have an emergency.
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4. Referral Coordinator Job Description
www.improvingchroniccare.orgReferral Coordinator Job Description We have reviewed many job descriptions for positions labeled “care coordinators,” “referral coordinators,” or “referral managers” and …
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Curing the System - improvingchroniccare.org
www.improvingchroniccare.orgTHE INSTITUTE FOR HEALTHCARE IMPROVEMENT ... Curing the System. THE NATIONAL COALITION ON HEALTH CARE NCHC is the nation’s most broadly representative alliance working to improve America’s health and health care. It is comprised of 80 …
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Partnering in Self-Management Support: A Toolkit for ...
www.improvingchroniccare.orgInstitute for Healthcare Improvement Page 3 Partnering in Self-Management Support: A Toolkit for Clinicians ―Self-management support is the assistance caregivers give to patients with chronic
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www.improvingchroniccare.orgIHI QUALITY IMPROVEMENT RESOURCES: A Model for Accelerating Improvement Introduction Organizations in the Breakthrough Series use a simple, yet powerful model for accelerating improvement.
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1. nCQA Care Coordination Process Measures
www.improvingchroniccare.org(2) identify and manage patient populations (3) plan and manage care (4) provide self‐care and community support (5) track and coordinate care
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www.sportsmed.orgIt is desirable the team physician: • Promote monitoring by the athletic care network [see Sideline Preparedness for the Team Physician, A Consensus Statement, 2000] of major life events and stressors (e.g., death in family, divorce, change in peer relationships, life transitions) which may place athletes at greater risk for injury.
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