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On its own or in conjunction with an external organization, the practice systematically:

=5.C.1 Demonstrates its process for identifying patients with a hospital admission and patients with an emergency department visit=

{| border = "1"
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|External Organization Policies and Procedures Example||[[media:PCMH_5_C_1-7.pdf|Examples ]]||TPC|| 03/25/13
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|}

=5.C.2 Demonstrates its process for sharing clinical information with admitting hospitals and emergency departments=

{| border = "1"
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|External Organization Policies and Procedures Example||[[media:PCMH_5_C_1-7.pdf|Examples ]]||TPC|| 03/25/13
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|}

=5.C.3 Demonstrates its process for consistently obtaining patient discharge summaries from the hospital and other facilities=

{| border = "1"
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|External Organization Policies and Procedures Example||[[media:PCMH_5_C_1-7.pdf|Examples ]]||TPC|| 03/25/13
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|}

=5.C.4 Demonstrates its process for contacting patients/families for appropriate follow-up care within an appropriate period following a hospital admission or emergency department visit=

{| border = "1"
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|External Organization Policies and Procedures Example||[[media:PCMH_5_C_1-7.pdf|Examples ]]||TPC|| 03/25/13
|-
|}

=5.C.5 Demonstrates its process for exchanging patient information with the hospital during a patient’s hospitalization=

{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
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|External Organization Policies and Procedures Example||[[media:PCMH_5_C_1-7.pdf|Examples ]]||TPC|| 03/25/13
|-
|}

=5.C.6 Collaborates with the patient/family to develop a written care plan for patients transitioning from pediatric care to adult care (NA for adult-only practices)=

{| border = "1"
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|Using PCC EHR Care Plan functionality for organizing materials and information in preparation for transitioning a patient from pediatric care to adult care.
||[[media:5C.6.pdf|Using PCC EHR Care Plans for transitions of care ]]||PCC|| 07/07/14
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|External Organization Policies and Procedures Example||[[media:PCMH_5_C_1-7.pdf|Examples ]]||TPC|| 03/25/13
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|}

=5.C.7 Demonstrates the ability for electronic exchange of key clinical information with facilities=

{| border = "1"
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|PCC EHR ability for electronic exchange of key clinical information with facilities||[[media:5C.7.pdf|PCC EHR electronic exchange of key clinical info ]]||PCC|| 07/07/14
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|External Organization Policies and Procedures Example||[[media:PCMH_5_C_1-7.pdf|Examples ]]||TPC|| 03/25/13
|-
|}

=5.C.8 Provides an electronic summary-of-care record to another care facility for more than 50 percent of transitions of care=

{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
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! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
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|External Organization Policies and Procedures Example||[[media:PCMH_5_C_1-7.pdf|Examples ]]||TPC|| 03/25/13
|-
|}