What are the high impact diagnostic groups?
Among the 11 diagnoses included in the initial targeting for the Care Transitions InterventionSM, there are particular conditions that appear particularly amenable to this type of program. These are conditions that require a great deal of coordination, medication reconciliation, laboratory monitoring, and durable medical equipment. Based on our work, patients with CHF, COPD, and recent stroke appear particularly well suited, as do patients requiring short- or long-term anticoagulation such as atrial fibrillation, deep venous thrombosis, and pulmonary emboli.
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