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SystemsofCare/PCMHInitiative
CompactFacilitationGuide
September2011This Care Collaborative Agreement Facilitation Guide has been developed for general distribution with the support of the Colorado
Systems
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How to fill out this care collaborative agreement
How to fill out this care collaborative agreement
01
Read the entire care collaborative agreement document.
02
Understand the purpose and objectives of the agreement.
03
Gather necessary information related to the collaborative care.
04
Identify all parties involved in the agreement.
05
Fill out the agreement form with accurate and complete information.
06
Review the completed agreement for any errors or omissions.
07
Have all parties involved sign the agreement.
08
Make copies of the signed agreement for all parties.
09
Distribute the copies to each party involved in the collaborative care.
10
Keep a copy of the agreement for your records.
Who needs this care collaborative agreement?
01
Healthcare providers entering into a collaborative care arrangement.
02
Medical institutions or organizations seeking to establish collaborative care relationships.
03
Individuals or entities involved in coordinating patient care across multiple providers.
04
Agencies or programs involved in promoting comprehensive and coordinated healthcare.
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What is this care collaborative agreement?
This care collaborative agreement is a formal agreement between healthcare providers to collaborate and coordinate patient care.
Who is required to file this care collaborative agreement?
Healthcare providers, including hospitals, physicians, and other allied health professionals, are required to file this care collaborative agreement.
How to fill out this care collaborative agreement?
To fill out the care collaborative agreement, providers must input relevant patient information, treatment plans, and collaboration goals.
What is the purpose of this care collaborative agreement?
The purpose of this care collaborative agreement is to improve patient outcomes, streamline care coordination, and enhance communication between healthcare providers.
What information must be reported on this care collaborative agreement?
Information such as patient demographics, medical history, treatment plans, and provider roles must be reported on this care collaborative agreement.
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