Care Coordination Transition Checklist

Comprehensive care coordination for patient transitions including care plan communication, medication reconciliation, and follow-up arrangements.

  • Industry: Healthcare
  • Frequency: Every care transition
  • Estimated Time: 20-30 minutes
  • Role: Care Coordinator/Case Manager
  • Total Items: 31
  • Compliance: CMS Transitional Care, AHRQ Care Transitions, Joint Commission Standards

Care Plan Communication

Transfer of care information

  • Care summary sent to receiving provider?
  • Active diagnoses communicated?
  • Pending tests/results communicated?
  • Outstanding orders communicated?

Medication Reconciliation

Medication communication

  • Complete medication list provided?
  • Medication changes explained?
  • Prescriptions provided?

Follow-Up Arrangements

Post-transition care

  • Follow-up appointments scheduled?
  • Specialty care coordinated?
  • Home health services arranged?

Patient/Family Education

Education provided

  • Care plan reviewed with patient?
  • Warning signs discussed?
  • Contact information provided?

Pre-Assessment Information

Initial assessment documentation and patient/facility identification

  • Assessor Name / Credentials
  • Assessment Date
  • Department / Unit
  • Assessment Type (Routine/Annual/Complaint)
  • Previous assessment findings reviewed?

Infection Prevention & Control

Verify infection control practices per CDC and Joint Commission standards

  • Hand hygiene compliance observed?
  • Appropriate PPE available and properly used?
  • Isolation precautions properly implemented?
  • Sharps containers available and not overfilled?
  • High-touch surfaces properly disinfected?

Patient Safety & Identification

Verify patient safety protocols and identification procedures

  • Two patient identifiers used before procedures?
  • Fall risk assessment completed?
  • Call light within patient reach?
  • Bed in lowest position with brakes locked?

Medication Safety & Management

Verify medication handling and administration practices

  • Medications stored securely and at proper temperature?
  • Controlled substances properly secured and counted?
  • No expired medications in stock?
  • High-alert medications properly labeled?

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Why Use This Care Coordination Transition Checklist?

This care coordination transition checklist helps healthcare teams maintain compliance and operational excellence. Designed for care coordinator/case manager professionals, this checklist covers 31 critical inspection points across 8 sections. Recommended frequency: every care transition.

Ensures compliance with CMS Transitional Care, AHRQ Care Transitions, Joint Commission Standards. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the Care Coordination Transition Checklist cover?

This checklist covers 31 inspection items across 8 sections: Care Plan Communication, Medication Reconciliation, Follow-Up Arrangements, Patient/Family Education, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed every care transition. Each completion takes approximately 20-30 minutes.

Who should use this Care Coordination Transition Checklist?

This checklist is designed for Care Coordinator/Case Manager professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.

Can I download this checklist as a PDF?

Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.

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