Risk Stratification, Complex Care Coordination and Care Plans

Webinar Date: 
Wednesday, October 25, 2017 - 7:30am

PCPCH program staff shared best practices from clinics around the stae for identifying and coordinating care for patients with complex care needs and developing individualized care plans. Staff from PCPCHs Neighborhood Health Center and WVP will share risk stratification strategies and care plans. Information presented in this webinar will improve your understanding of how to implement PCPCH care coordination measures in your clinic.

Featured PCPCH measures:

  • 5.C.2 - PCPCH describes and demonstrates its process for identifying and coordinating the care of patients with complex care needs
  • 5.C.3 - PCPCH developms an individualized written care plan for patients and families with complex medical or social concerns. This care plan should include at least the following: self-management goals; goals of preventive and chronic illness care; and action plan for exacerbations of chronic illness.¬†

This webinar was part  of the Transformation in Practice webinar series hosted by the PCPCH Program.

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    PDF icon Transformation in Practice_Care Coordination_10.25.17 Final.pdf1.6 MB