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Care Setting Transitions and the Primary Care Home Stacy Moritz, RN, MBA Acumen Health October 8, 2013, Welcome! Type questions into the Questions Pane PatientCentered Primary Care Institute History

How to fill out care setting transitions and

How to fill out care setting transitions and:

1. Start by gathering all necessary information: Before filling out the care setting transitions form, gather all relevant information such as the patient's personal details, current care setting, reason for transition, desired care setting, and any specific requirements or preferences.
2. Understand the requirements: Care setting transitions forms may differ depending on the healthcare facility or organization. Take the time to thoroughly read and understand the form's instructions, sections, and any additional guidelines provided.
3. Provide accurate and complete information: Ensure that all information provided on the form is accurate, up-to-date, and complete. Double-check details such as names, contact information, and medical history to avoid any errors or confusion during the transition process.
4. Include necessary supporting documents: Depending on the care setting transition, you may need to attach supporting documents such as medical records, discharge summaries, or referral letters. Make sure to include these documents as required, ensuring a smooth and streamlined transition.
5. Seek assistance if needed: If you encounter any difficulties or have questions while filling out the care setting transitions form, don't hesitate to seek assistance. Reach out to the healthcare facility or organization's staff or consult with a healthcare professional familiar with the process to ensure accurate completion.

Who needs care setting transitions and:

1. Patients requiring a change in care setting: Care setting transitions are typically required for patients who need to move from one care setting to another. This can include transitions from hospital to home care, assisted living to long-term care, or a change in rehabilitation facilities.
2. Individuals with changing healthcare needs: Care setting transitions are necessary for individuals whose healthcare needs have evolved. This could be due to a change in medical condition, surgery, injury, or the need for specialized care that is not available in the current setting.
3. Families and caregivers: Care setting transitions also impact families and caregivers who play a role in the patient's care. They need to be informed and involved in the transition process to ensure seamless coordination, continuity of care, and understanding of the new care setting's policies and procedures.

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