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State of California Health and Human Services AgencyDepartment of Health Care ServicesTransition of Care Tool for Medical Mental Health Services The Transition of Care Tool for Medical Mental Health
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How to fill out transition of care tool

01
Gather necessary patient information including current medications, allergies, medical history, and recent lab results.
02
Document reason for transition of care and goals for care.
03
Include information on any recent treatments or procedures.
04
Fill out the patient's demographic information accurately.
05
Ensure all sections of the transition of care tool are completed thoroughly and accurately.

Who needs transition of care tool?

01
Patients who are transitioning between healthcare settings such as from the hospital to home.
02
Healthcare providers who are coordinating care for patients with complex medical needs.
03
Caregivers who are responsible for managing the care of a loved one who is transitioning between healthcare settings.
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Transition of care tool is a document or software that helps facilitate the transfer of a patient from one healthcare provider to another while ensuring continuity of care.
Healthcare providers, including doctors, nurses, and other medical professionals, are required to file transition of care tool when transferring a patient to another provider.
Transition of care tool is typically filled out with information about the patient's medical history, current medications, treatment plans, and any other relevant details that would help the receiving provider continue the patient's care.
The purpose of transition of care tool is to ensure a smooth and seamless transfer of a patient's care between healthcare providers while minimizing the risk of errors or gaps in treatment.
Information such as the patient's medical history, current medications, treatment plans, and any specific instructions or preferences related to their care must be reported on the transition of care tool.
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