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The Future is Bright for Medical Home: Prevention and ... - HRSA

The Future is Bright for Medical Home: Prevention and ... - HRSA

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CC Functions<br />

• Provides separate CC v<strong>is</strong>its<br />

• CCompletes/analyzes l / l assessments<br />

• Manages continuous communications<br />

• Develops care plans with patients/families<br />

• Manages/tracks tests, referrals, <strong>and</strong> outcomes<br />

• Coaches patients/families<br />

p /<br />

• Integrates/consolidates critical care in<strong>for</strong>mation<br />

• Supports/facilitates care transitions (pedi, adult,<br />

nursing i hhome, hospital, h it l etc.) t )<br />

• Facilitates (participates in) team meetings<br />

• Uses health in<strong>for</strong>mation technology (IT)

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