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This project developed, implemented, and evaluated a care transition information transfer system to improve provider-to-provider communication and standardize the discharge process.
Facilitates transfer of information among providers and patients in the Presque Isle community; implements a model of chronic care management; and educates area health care providers on how best to use current information systems to communicate with each other.
Intended to improve chronic care health management in Northern, Eastern, and Central Maine by planning for the standard exchange of clinical information for patient transitions from acute to non-acute care.