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Note: This is an authorized excerpt from 2015 Healthcare Benchmarks: Care Transitions Management To download the entire report, go to http://store.hin.com/product.asp?itemid5018 or call 8884463530.2015
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01
Gather all necessary information about the patient's current medications, medical history, and care needs.
02
Develop a care plan that outlines the necessary steps and resources needed for a successful transition.
03
Communicate with the patient's healthcare team, including doctors, nurses, and caregivers, to ensure a smooth transition.
04
Coordinate any necessary follow-up care or appointments to continue monitoring the patient's progress.
05
Provide the patient and their caregivers with education and support throughout the transition process.

Who needs care transitions - making?

01
Patients who are transitioning from one healthcare setting to another, such as from a hospital to a nursing home or from a rehabilitation facility to home.
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Patients with complex medical needs or chronic conditions that require ongoing care management.
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Patients who may have difficulty managing their own care needs and require assistance from healthcare providers or caregivers.
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Care transitions-making is the process of transferring a patient from one healthcare setting to another while ensuring continuity of care.
Healthcare providers and facilities involved in the care transitions process are required to file care transitions-making.
Care transitions-making can be filled out by documenting the patient's medical history, current medications, treatment plans, and any necessary follow-up care.
The purpose of care transitions-making is to improve patient outcomes, reduce medical errors, and ensure seamless transitions between healthcare settings.
Information such as patient demographics, medical history, current medications, treatment plans, and discharge instructions must be reported on care transitions-making.
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