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CHAIN NumberReadmission CRF V1.62[2][0][0][0][1][ ][ ][ ] Readmission to Hospital DATE arrived at the hospital __ __ / __ __ / __ __ __ __TIME arrived at the hospitality seen by research team __ __
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01
Identify the individual who needs care coordination and prevention measures.
02
Gather all relevant medical information and history of the person.
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Assess the current health status and any ongoing medical treatments or conditions.
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Develop a personalized care plan that includes preventive measures and coordination of services.
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Implement the care plan and monitor the individual's progress regularly.
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Make adjustments to the plan as needed to ensure optimal health outcomes.

Who needs care coordination ampamp preventing?

01
Individuals with chronic medical conditions who require ongoing management and monitoring.
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Elderly individuals who may have multiple health concerns and need assistance in coordinating their care.
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Patients with complex medical needs who require coordination between multiple healthcare providers.
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People at high risk for certain diseases who could benefit from preventive measures to reduce the likelihood of developing health issues.
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Care coordination aims to ensure that all aspects of a patient's care are well-coordinated to prevent any gaps or overlaps in treatment.
Healthcare providers and organizations involved in a patient's care are required to file care coordination reports.
Care coordination reports can be filled out online through a secure healthcare portal or submitted in person at a healthcare facility.
The purpose of care coordination is to improve patient outcomes by ensuring all providers are working together and preventing any errors in treatment.
Information such as medications, treatments, test results, and upcoming appointments must be reported on care coordination forms.
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