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CARE TRANSFORMATION COLLABORATIVE (CTC) COLLABORATIVE AGREEMENT SCOPE OF SERVICE/WORK Consisting of 16 pages RI MOMSPRN1. Introduction/PurposeThe Rhode Island Department of Health (RIDOH), the Care
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How to fill out transition of care learning

01
Gather all necessary information about the patient being transferred
02
Ensure all documentation is accurate and up to date
03
Communicate effectively with all parties involved in the transition of care process
04
Coordinate follow-up appointments and care plans for the patient
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Provide education to the patient and their caregivers about the transition of care process

Who needs transition of care learning?

01
Healthcare professionals who are involved in the transfer of patients from one care setting to another
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Patients who are being transferred between care settings and their caregivers
03
Healthcare organizations looking to improve coordination and communication during transitions of care

What is Transition of Care Learning CollaborativeCTC-RI Form?

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Transition of care learning refers to the process of ensuring continuity and quality of care when patients move between different healthcare settings or providers. It focuses on effective communication and coordination among healthcare teams to improve patient outcomes.
Healthcare providers and organizations involved in patient care transitions, including hospitals, skilled nursing facilities, and outpatient services, are required to file transition of care learning.
To fill out transition of care learning, providers must gather relevant patient information, document care plans, record communication details among providers, and complete any necessary forms as per regulatory guidelines.
The purpose of transition of care learning is to enhance patient safety, reduce readmission rates, and ensure that patients receive appropriate follow-up care after moving from one healthcare setting to another.
Information that must be reported includes patient demographics, clinical information, a summary of care provided, follow-up instructions, and communication with other healthcare providers involved in the patient's care.
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