Care Coordination and Care Transitions (CC)

The practice systematically tracks tests, referrals and care transitions to achieve high quality care coordination, lower costs, improve patient safety and ensure effective communication with specialists and other providers in the medical neighborhood.

Competency A: The practice effectively tracks and manages laboratory and imaging tests important for patient care and informs patients of the result.

Competency B: The practice provides important information in referrals to specialists and tracks referrals until the report is received.

Competency C: The practice connects with health care facilities to support patient safety throughout care transitions. The practice receives and shares necessary patient treatment information to coordinate comprehensive patient care.

Demonstrates electronic exchange of information with external entities, agencies and registries.

Sample
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