Coordinated Care Management Framework

2. Interview

Interview the patient

  • Engage patient by asking open ended questions about what is most important to them and what they hope to achieve
  • Actively collaborate with patients to develop their goals and care plan, and encourage the patient to participate in the care conference.


Complete mandatory sections of Coordinated Care Plan including:

  • Patient identifiers
  • Two or more health care professionals
  • One or more goals
  • One or more actions




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