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FMQAI Activities

FMQAI activities under the Care Transition project will focus on the following areas for improvement in patient self management:

Patient Centered Record – the patient or caregiver manages the personal health record (PHR). This tool provides pertinent information about the patient’s health history, assists in identifying health concerns while facilitating communication and continuity of care plan across providers and settings.

Historia Clinica Personal
Physician Follow-Up – the patient schedules and completes a timely follow-up visit with the physician after a hospitalization and is empowered to be an active participant in these interactions.

Medication Self-Management – the patient is knowledgeable about their medications and has a medication management system.

Disease Self-Management – the patient is knowledgeable about when their condition is worsening and accesses additional health care follow-up.

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Last Updated: 08/27/2010