Chronic Care Management (CCM) Comprehensive Care Plan Template Chronic Care Management (CCM) Compreh 2025

1. Click ‘Get Form’ to open the Chronic Care Management (CCM) Comprehensive Care Plan Template in the editor.
2. Begin by entering the Care Plan Initiation Date and Date of Revision at the top of the form. This establishes a timeline for your documentation.
3. Fill in the Patient Information section, including the patient's name, date of birth, and primary care physician. Accurate details are crucial for effective care management.
4. Complete the Problem List by detailing chronic health conditions, surgeries, and tests/procedures. You can elaborate further on page 3 if needed.
5. List Current Medications, specifying dosage and frequency. Include any PRN medications as well as complementary or alternative treatments.
6. Document Allergies and Preventive Care dates for vaccinations and screenings to ensure comprehensive patient history.
7. Conduct a Psychosocial Assessment by evaluating current employment status, household composition, and any environmental threats.
8. For each chronic condition listed, outline goals and interventions including prognosis, symptom management strategies, measurable treatment goals, and planned interventions.
9. Finally, review the care plan with the patient and ensure it is shared appropriately. Document any follow-up activities along with time spent on each task.

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