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Continuity of Care Record (CCR) [1] is a health record standard specification developed jointly by ASTM International, the Massachusetts Medical Society (MMS), the Healthcare Information and Management Systems Society (HIMSS), the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), and other health informatics vendors.
The Agency for Healthcare Research and Quality (AHRQ) published an overview of many different models as well as research that supports them. [5] These are the key features of collaborative care models: Integration of mental health professionals in primary care medical settings; Close collaboration between mental health and medical/nursing providers
A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).
Chronic care management (CCM) refers to a Medicare care plan that can help direct a person’s healthcare. It lists information about a person’s health and also explains the care a person requires.
Transitional care or transition care also refers to the transition of young people with chronic conditions into adult-based services. Transition care is a Youth Health service. As children mature into young adults, they outgrow the expertise of children’s services (paediatrics) and need to find an adult health service that suits them.
The CCD specification is a constraint on the HL7 Clinical Document Architecture (CDA) standard. The CDA specifies that the content of the document consists of a mandatory textual part (which ensures human interpretation of the document contents) and optional structured parts (for software processing).
A continuing care retirement community (CCRC), [1] [2] sometimes known as a life plan community, is a type of retirement community in the U.S. where a continuum of aging care needs—from independent living, assisted living, and skilled nursing care—can all be met within the community. [3]
The Case Management process encompasses communication and facilitates care along a continuum through effective resource coordination. The goals of Case Management include the achievement of optimal health, access to care and appropriate utilization of resources, balanced with the patient's right to self determination.