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SAME PAGE TRANSITIONAL CARE: HOSPITAL PRE SURVEY ID number: Hospital: Date of Hospital Admission: Age Gender: Male Female Date of Survey: Race: White Black Hispanic Other: Below are some statements
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How to fill out same page transitional care

How to Fill Out Same Page Transitional Care:
01
Start by gathering all relevant information. This includes the patient's medical history, current medications, and any recent hospitalizations or surgeries.
02
Review the same page transitional care form thoroughly. Familiarize yourself with the sections and questions that need to be addressed.
03
Begin by filling in the patient's personal information. This typically includes their full name, date of birth, address, and contact information.
04
Proceed to enter the patient's primary care physician's details. This may involve their name, practice address, phone number, and any other relevant contact information.
05
In the medical history section, document any pre-existing medical conditions or chronic illnesses. Include any allergies or adverse reactions to medications as well.
06
List all current medications the patient is taking. Include the dosage, frequency, and the reason for taking each medication. It is essential to provide accurate information to ensure continuity of care.
07
If the patient has had recent hospitalizations or surgeries, provide the necessary details. Include the dates, reasons, and any specific instructions or follow-up appointments related to these events.
08
In the same page transitional care form, there may be sections asking about the patient's functional abilities and support system. Document any limitations the patient may have and outline any support they may require during the transitional period.
09
The form may also inquire about the patient's preferences and goals of care. Make sure to record their wishes accurately, such as their preferred healthcare providers or desired treatment options.
10
Once you have completed filling in all the necessary information, review the form once again to check for any errors or missing details.
Who Needs Same Page Transitional Care:
01
Patients who have recently been discharged from the hospital following a surgery or medical procedure.
02
Individuals with chronic illnesses or complex medical conditions that require close monitoring during the transition from the hospital to home or another healthcare facility.
03
Elderly patients who may need additional support in managing their medications, appointments, and overall post-hospital care.
Overall, same page transitional care is crucial for coordinating and ensuring the continuity of care for patients who are transitioning from one healthcare setting to another. It helps healthcare professionals understand the patient's medical history, current status, and preferences, ultimately facilitating a smoother and more effective transition.
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What is same page transitional care?
Same page transitional care is a type of healthcare service that ensures a smooth transition for a patient from one healthcare setting to another, such as from a hospital to a long-term care facility.
Who is required to file same page transitional care?
Healthcare providers and facilities involved in the transition of care are required to file same page transitional care.
How to fill out same page transitional care?
Same page transitional care should be filled out by including all relevant information about the patient's medical history, current condition, medications, and treatment plan.
What is the purpose of same page transitional care?
The purpose of same page transitional care is to ensure that all healthcare providers involved in a patient's care have access to important information to provide continuity and quality of care during transitions.
What information must be reported on same page transitional care?
Information such as patient demographics, medical history, current medications, allergies, and treatment plans must be reported on same page transitional care.
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