Care transition documentation practice improvements

Activity ID

IA_CC_10

Activity Weighting

Medium

Subcategory Name

Care Coordination

Activity Description

Implementation of practices/processes for care transition that include documentation of how a MIPS eligible clinician or group carried out a patient-centered action plan for first 30 days following a discharge (e.g., staff involved, phone calls conducted in support of transition, accompaniments, navigation actions, home visits, patient information access, etc.).

Validation

Patient-centered, care transition action plan for is carried out for first 30 days following a discharge

Suggested Documentation

Documentation of care transition practices/processes including a patient-centered action plan for first 30 days following a discharge

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