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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