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IMPROVING TRANSITIONS OF CARE IN COPD PATIENTS by Shell eon Alford brief submitted to the Faculty of the University of Delaware in partial fulfillment of the requirements for the degree of Doctor
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How to fill out improving transitions of care

01
Ensure clear communication between healthcare providers throughout the care transition process.
02
Provide patients with a comprehensive care plan that includes instructions for follow-up care.
03
Coordinate medication management to avoid discrepancies or duplications in prescriptions.
04
Involve patients and their families in decision-making and care planning.
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Schedule timely follow-up appointments to monitor progress and address any concerns.

Who needs improving transitions of care?

01
Patients with complex medical conditions requiring multiple transitions between healthcare settings.
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Elderly individuals who may have difficulty managing their own care transitions.
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Patients with a history of medication errors or adverse events during transitions of care.
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Improving transitions of care refers to strategies aimed at enhancing the process of relocating a patient from one healthcare setting to another, minimizing errors and promoting continuity of care.
Healthcare organizations and providers participating in specific Medicare programs and initiatives are typically required to file improving transitions of care.
To fill out improving transitions of care, follow the specified guidelines provided by the governing body, ensuring accurate information about patient transfers, care coordination, and follow-up plans is documented.
The purpose of improving transitions of care is to ensure that patients receive continuous and coordinated care as they move between different settings, thereby reducing hospital readmissions and improving health outcomes.
Information that must be reported includes patient demographics, details of the care transition, communication among healthcare providers, and follow-up care plans.
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