Activity Description
Establish standard operations to manage transitions of care that could include one or more of the following:
•  Establish formalized lines of communication with local settings in which empaneled patients receive care to ensure documented flow of information and seamless transitions in care; and/or
•  Partner with community or hospital-based transitional care services.
| Activity ID | Activity Weighting | Sub-Category Name | 
|---|---|---|
| IA_CC_11 | Medium | Care Coordination | 
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