The nurse is coordinating care for patients within a patient-centered medical home. Which actions should the nurse prepare to complete when functioning in this role?
1. Communicate with the patient after discharge.
2. Monitor the implementation of the plan of care.
3. Manage the accuracy, timeliness, and cost of care.
4. Develop the plan of care with the patient and family.
5. Collaborate with the patient to implement the plan of care.
Correct Answer: 1, 2, 3, 5
The nurse functioning as a care coordinator within a patient-centered medical home will be in contact with the patients after discharge to ensure continuity of care and health maintenance. The nurse will also monitor the implementation of the patient's plan of care; manage the quality of care provided, including accuracy, timeliness, and cost; and collaborate with the patient to implement the plan of care. The patient-centered medical home team is led by the patient's primary care provider, who is responsible for leading the development of the plan of care with the patient and the family.
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