Health Assessment

Please write a care plan for the following patient in scenario 3. Here are the topics that need to be covered:

Discussion of CMS HRRP

One SDOH impacting the patient and one intervention to prevent hospital readmission

Identify ONE practice to prevent readmission for selected patient.

Discuss ONE public health intervention for selected patient for each level of practice.

Discuss 5 standards of Transitions of Care

Develop communication plan (Standard 5) for selected patient.