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Coordination of Care NHC AR Ins. 2701.09(g)(8) The health carriers system for ensuring the coordination of care for covered persons referred to specialty physicians, for covered persons using ancillary
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Step 1: Gather all relevant documents and information related to the patient's medical history, current health condition, and any ongoing treatments.
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Step 2: Identify the primary care physician or healthcare provider responsible for coordinating the patient's care.
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Step 3: Develop a communication plan with all healthcare providers involved in the patient's care to ensure seamless coordination and exchange of information.
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Step 4: Establish a system for sharing medical records and pertinent patient information securely and efficiently.
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Step 5: Regularly update and review the patient's care plan with all healthcare providers involved, considering any changes in the patient's condition or treatment.
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Step 6: Facilitate effective communication and collaboration among the patient, family members, and healthcare providers to ensure everyone is aware of the care plan and their respective roles.
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Step 7: Continuously monitor and evaluate the coordination of care to identify any gaps or areas for improvement.
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Step 8: Provide ongoing support and education to the patient and their caregivers to empower them in managing the coordination of care process.
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Step 9: Maintain open lines of communication with the patient and their family to address any concerns, questions, or updates related to the coordination of care.
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Step 10: Regularly assess the effectiveness of the coordination of care efforts and make necessary adjustments as needed.

Who needs coordination of care?

01
Individuals with complex or chronic medical conditions that require multiple healthcare providers and services.
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Patients transitioning between different care settings, such as hospital to home or nursing facility.
03
Elderly individuals who may have difficulty managing and coordinating their own healthcare needs.
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Patients with mental health or behavioral health conditions who require coordinated care between medical and mental health professionals.
05
Patients receiving palliative or end-of-life care who need comprehensive and integrated support from various healthcare providers.
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Individuals with disabilities or special healthcare needs who require coordinated care across different specialties and providers.
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Patients with multiple medications or treatments that need to be carefully managed and coordinated to avoid adverse drug interactions or complications.
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Children with complex medical needs who require coordinated care between pediatric specialists and other healthcare professionals.
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Individuals with a history of frequent hospitalizations or emergency department visits who would benefit from proactive care coordination to prevent complications and readmissions.
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Patients with a care team or healthcare providers in different locations or healthcare systems that need to work together for comprehensive and seamless care delivery.
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Coordination of care is the organization of different activities involved in patient care to ensure that all aspects of a patient's needs are met.
Healthcare providers, caregivers, and other individuals involved in a patient's care are required to file coordination of care.
Coordination of care is typically filled out by documenting the patient's medical history, treatment plan, medication list, and any relevant test results.
The purpose of coordination of care is to ensure that there is clear communication and collaboration among all healthcare providers involved in a patient's care.
Information such as patient demographics, medical history, medications, treatment plans, and any recent test results must be reported on coordination of care.
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