Clinical Processes: A Guide from the Care Transitions Technology Toolkit


In order to standardize the delivery of technology-enhanced transitional care, guidelines or protocols outlining key clinical processes should be developed. Clinical care processes to address include patient assessment and enrollment, patient care plans during care transitions, patient education, and how clinicians should respond to data or alerts generated by related technologies (e.g., remote patient monitoring technologies). Note that protocols and guidelines are not a substitute for clinician judgment, but rather augment the care process.


For use in establishing protocols and guidelines for clinical processes that relate to delivery of technology-enhanced transitional care.

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Involve multiple stakeholders when defining a technology-enhanced patient care plan

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