Care Coordination and Transition Management Flashcards

1
Q

what does poor care coordination lead to

A

high readmission rates, ED and PHCP visits

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2
Q

what should be established to address patient’s communication needs

A

a system

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3
Q

what should you do after discharge

A

follow up

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4
Q

what kind of coach can be used for care coordination and transition management

A

health coach

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