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Care coordination plan template 2025

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64 votes

The document outlines a Client Care Coordination Plan for mental health services, detailing the process for setting long-term and short-term goals that are SMART (Specific, Measurable, Attainable, Realistic, Time-bound). It includes sections for clinical interventions, client and family involvement, outcomes tracking, and necessary signatures from authorized personnel. The plan emphasizes confidentiality and compliance with legal standards.

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Versions	Form popularity	Fillable & printable
2021	4.1 Satisfied (35 Votes)
2014	4 Satisfied (28 Votes)
2009	4.6 Satisfied (64 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is an example of coordination of care?

Examples of care coordination include developing a plan for how a patients care will be managed, communicating with all of the numerous participants who are caring for a patient, and making sure that patients receive the services they need in a timely manner.

What are the 5 main components of a care plan?

Nursing care plans are structured as a five-step framework: assessment, diagnosis, outcomes and planning, implementation and evaluation.

How do I create a comprehensive care plan?

Information that should be included within a comprehensive care plan can be grouped into eight components including: Clinical assessment and diagnosis. Goals of care. Risk screening and assessment. Planned interventions. Activities of daily living. Monitoring plans. People involved in care. Discharge planning.

How to write a care coordination note?

Note who was present and their relationship to the client. Make a notation of the date and time. Summarize the contact highlighting the discussion and any agreements made. Write down what the next steps will be to aid you when you follow-up with the client at a later date.

What does a CCM care plan look like?

A care plan typically includes, but is not limited to: A list of the patients current medical conditions, including the patients prognosis, expected clinical outcomes, and any mental or behavioral illness. Records of symptoms the patient is experiencing.