TCM Nurse Note_Contact Made

Transitional Care Management Initial Contact Note

Date of admission: [date name="date_of_admission"]

Date of discharge: [date name="date_of_discharge"]

Hospital: [text name="hospital" default="Name of hospital"]

Attending Physician: [text name="attending" default="Attending provider name, if known"]

Reason for Hospitalization: [textarea name="reason" default=""]

Discharge Diagnoses: [textarea name="discharge_diagnoses" default=""]

[select name="Records" value="Records available and uploaded into GehriMed.|Records request sent today."]

Date of Initial Contact:[date name="contact_date" default="08/27/2021"]
Spoke with:[comment memo="Check all that apply"][checkbox name="Contact_Person" value="Patient|Patient's power of attorney|Patient's primary caregiver|Facility nurse responsible for patient"]

Medication reconciliation was performed today.
The patient has the following NEW medications:[textarea name="New_meds" default="No new medications."]
The following medications were stopped:[textarea name="Stopped_meds" default="No medications were stopped."]

[select name="Med_Issues" value="The patient has no problems or concerns with current medications.|The patient has problems or concerns with medications, message sent to provider."][text name="Med_Problems" memo="Description of medication problems, leave blank if none"]

[select name="Med_Issues" value="The patient denies needing prescriptions or refills at this time.|The patient needs a prescription for medication, message sent to provider."][text name="Med_Needs" memo="Medications needed, leave blank if none"]

Pending Labs and Imaging Studies: [textarea name="pending_findings" default="No studies or lab results were pending at the time of discharge."]

Recommended Outpatient Evaluations/Appointments: [textarea name="outpatient_evaluations" default="No outpatient appointments were recommended."]

Home health services: [select name="HH_Services" value="The patient was referred to home health and services have started.|The patient was referred to home health, awaiting initial assessment.|The patient was not referred to home health."][text name="Agency_Name" memo="Name of home health agency, leave blank if none"]

We reviewed the hospital discharge instructions together. The patient and/or caregiver was given the opportunity to ask questions.

Summary of transition: [textarea name="Transition_summary" memo="How is the patient handling their transition home? Do they feel their condition is stable enough to be safe at home?"]

[checklist name="Issues" value="The patient has new or unresolved symptoms that require urgent attention, message sent to provider.|The patient has a need for DME equipment, message sent to provider.|The patient and/or caregiver have questions not able to be answered at this time, message sent to provider.|The patient needs assistance with scheduling follow-up appointments, assistance provided.|The patient and/or caregiver has no additional questions or concerns at this time."]
[text name="Issue_Summary" memo="Summazrize issues here, leave blank if none"]


Scheduled TCM Provider Visit: [date name="date_of_visit"]
Transitional Care Management Initial Contact Note

Date of admission:

Date of discharge:

Hospital:

Attending Physician:

Reason for Hospitalization:


Discharge Diagnoses:




Date of Initial Contact:
Spoke with:Check all that apply

Medication reconciliation was performed today.
The patient has the following NEW medications:

The following medications were stopped:


Description of medication problems, leave blank if none

Medications needed, leave blank if none

Pending Labs and Imaging Studies:


Recommended Outpatient Evaluations/Appointments:


Home health services: Name of home health agency, leave blank if none

We reviewed the hospital discharge instructions together. The patient and/or caregiver was given the opportunity to ask questions.

Summary of transition:
How is the patient handling their transition home? Do they feel their condition is stable enough to be safe at home?


Summazrize issues here, leave blank if none


Scheduled TCM Provider Visit:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.43, 24 form elements, 81 boilerplate words, 6 text boxes, 7 text areas, 4 dates, 1 checkboxes, 1 check lists, 4 drop downs, 1 comments, 30 total clicks
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