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Patient consent (verbal or signed) Personalized care plan in a certified EHR and a copy provided to patient.
Patients must give consent to receive PCM services. This can be given in written or verbal form and documented in the medical record.
A care plan should include: A comprehensive list of health conditions. The expected prognosis and outcomes of these conditions. Treatment goals that are measurable, with a place to record progress. An assessment of functional and cognitive abilities of the patient. A strategy for managing chronic symptoms.
An adult patients competence then enables him or her to give a valid informed consent. As an autonomous individual and having been presented with the various options and their respective risks and benefits, the competent patient is then requested to make a choice.
Hospitals must utilize an informed consent process that ensures patients, or their representatives, are given the information and disclosures needed to make an informed decision about whether to consent to a procedure, intervention, or type of care that requires consent.
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The following should be documented in the EHR: Patient consent, Comprehensive care plan, including, but not limited to, a problem list, measurable treatment goals, planned interventions, medication management, and interaction and coordination with outside resources and practitioners and providers, and.

chronic care management consent form