Coordinated Care Management Framework

3. Care Conference

  • Overview of Coordinated Care Planning and Documentation Standards

  • Review purpose of care conference and identified goals with patient
  • Structure care conference around patient’s preference and how they would like to participate
  • Invite care team members
  • Host care conference
  • Determine action plan based on patient’s expressed goals and needs
  • Identify most appropriate lead for each action
  • Determine communication and follow up strategy 


Coordinated Care Management 101


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