Common use of Care Coordination Clause in Contracts

Care Coordination. Required expectations for care coordination in the context of a care management plan shall include, but not be limited to: a) Outreach and contacts/communication to support patient engagement, b) Conducting screening, record review and documentation as part of Evaluation and Assessment, c) Tracking and facilitating follow up on referrals and post discharge, d) Care Planning, e) Managing transitions of care activities to support continuity of care, to include arranging for timely referral appointments and coordinating and transferring necessary information with appropriate consent(s) between internal and external providers. f) Address social supports and making linkages to services addressing housing, food, etc., and g) Monitoring, Reporting and Documentation.

Care Coordination. Required expectations for care coordination in the context of a care management plan shall include, but not be limited to: a) Outreach and contacts/communication to support patient participant engagement, b) Conducting screening, record review and documentation as part of Evaluation and Assessment, c) Tracking and facilitating follow up on referrals and post dischargereferrals, d) Post discharge follow up, e) Care Planning, ef) Managing transitions of care activities to support continuity of care, to include arranging for timely referral appointments and coordinating and transferring necessary information with appropriate consent(s) between internal and external providers. fg) Address social supports and making linkages to services addressing housing, food, etc., and gh) Monitoring, Reporting and Documentation.

Care Coordination. Required expectations for care coordination in the context of a care management plan shall include, but not be limited to: a) a. Outreach and contacts/communication to support patient engagement, b) b. Conducting screening, record review and documentation as part of Evaluation and Assessment, c) c. Tracking and facilitating follow up on referrals and post discharge, d) d. Care Planning, e) e. Managing transitions of care activities to support continuity of care, to include arranging for timely referral appointments and coordinating and transferring necessary information with appropriate consent(s) between internal and external providers. f) f. Address social supports and making linkages to services addressing housing, food, etc., and g) g. Monitoring, Reporting and Documentation.

Care Coordination. Required expectations for care coordination in the context of a care management plan shall include, but not be limited to: a) a. Outreach and contacts/communication to support patient participant engagement,; b) b. Conducting screening, record review and documentation as part of Evaluation evaluation and Assessment,assessment; c) c. Tracking and facilitating follow up on referrals and post discharge,referrals; d) d. Post discharge follow up; e. Care Planning,planning; e) f. Managing transitions of care activities to support continuity of care, to include arranging for timely referral appointments and coordinating and transferring necessary information with appropriate consent(s) between internal and external providers.; f) g. Address social supports and making linkages to services addressing housing, food, etc., and g) ; and h. Monitoring, Reporting reporting and Documentationdocumentation.