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Integrated Solutions for Transitioning Patients with Medical and Psychiatric Conditions Joe Avelino, RN, BSN, MESA, CHQ Chief Executive Officer College Medical Center Amanda Arcadia Soaring Stronger
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To fill out transitioning patients, follow these steps:
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Start by gathering all the necessary patient information, such as medical history, medications, and any recent test results.
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Create a new patient record or update the existing record with the transitioning patient information.
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Ensure that all the patient's records are accurate and up to date, including demographics, contact information, and insurance details.
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Coordinate with the patient's previous healthcare provider or facility to obtain any missing information or records.
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Review and assess the patient's current health status, including any ongoing treatments or conditions.
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Develop a comprehensive transitioning plan that includes a smooth transfer of care, medication reconciliation, and any necessary follow-up appointments or referrals.
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Communicate and collaborate with the patient, their family, and other healthcare providers involved in the transitioning process to ensure continuity of care.
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Document all the steps taken and any relevant information in the patient's medical record.
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Follow up with the transitioning patient to monitor their progress and address any potential issues or concerns.
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Continuously evaluate and update the transitioning plan as needed to provide the best possible care for the patient.

Who needs transitioning patients with?

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Transitioning patients with complex medical histories or chronic conditions often require specialized care and attention.
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Patients who are moving from one healthcare provider or facility to another, such as during a transfer of care or relocation, may also need assistance in transitioning.
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Transitional care is beneficial for elderly patients, individuals with disabilities, and those who require ongoing support and monitoring.
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Additionally, patients who have recently undergone surgery or any significant medical procedure may need help in transitioning back to their regular healthcare routine.
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Overall, anyone who experiences a change in their healthcare provider or setting may benefit from transitioning patients with the help of proper care coordination and support.
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Transitioning patients with proper care coordination.
Healthcare providers and facilities are required.
By entering accurate and up-to-date information.
To ensure smooth transfers of care and continuity of treatment.
Patient demographics, medical history, current medications, and treatment plan.
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