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Transition of Care

Updated: Nov 11, 2023

Transition of care includes many activities:



  • Referring patients out to see a specialist: May be performed by Referral Department and Providers.

  • Sending patients to ER: May be performed by Providers with the help of Nurses, Medical Assistants, Medical Administrative Assistants

  • Change to external healthcare providers, as primary care providers: May be performed by Providers, and Patients.

  • Requesting, receiving and reviewing of external clinical documentation for integration into the patient's EHR: Can be done via EHR by providers, or with the help of Medical Administrative Assistants within the clinical departments.

  • External requests from other healthcare providers for patients' health records for continuity of care: May be responded to by HIM Department-Release of Health Information

  • Patients requesting their own health records for transition of care: May be responded to by HIM Department.- Release of Health Information


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