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1. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadL32Ue145339.zip?contentType=application/zip
   January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

2. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadGxjH7145153.zip?contentType=application/zip
   January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

3. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/download56P4z145424.zip?contentType=application/zip
   January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

4. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadwvrVs145435.zip?contentType=application/zip
   January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

5. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadDKw8S145432.zip?contentType=application/zip
   January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

6. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/download3qO75145536.zip?contentType=application/zip
   January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

7. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadS0uZD145424.zip?contentType=application/zip
   January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

8. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/download990AF145340.zip?contentType=application/zip
   January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

9. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadg6yD1151041.zip?contentType=application/zip
   January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

10. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadU8xpz151056.zip?contentType=application/zip
    January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

11. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadu9IYr151005.zip?contentType=application/zip
    January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

12. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadg4G4w171730.zip?contentType=application/zip
    September 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

13. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/download4r56V151120.zip?contentType=application/zip
    September 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

14. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/download65B83145621.zip?contentType=application/zip
    January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

15. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadC0Y6i145521.zip?contentType=application/zip
    January 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

16. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadDl3JL145328.zip?contentType=application/zip
    August 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

17. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadJ80Qc145444.zip?contentType=application/zip
    August 01, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

18. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadf1HIp151228.zip?contentType=application/zip
    August 11, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

19. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/download2xR71145610.zip?contentType=application/zip
    August 11, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.

20. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/download1dlID145432.zip?contentType=application/zip
    August 11, 2021 - Gay and Jenna- It’s important to test exchanging cognitive assessments. … IGs specific to patient/person level data across the continuum of care: SDOH screening, functional assessments … to participate as system actors across the care coordination transactions: SDOH screening, patient assessments … PROMIS Physical Functioning 10a CKD Personal Health Goals Panel Responses may trigger additional assessments … Also need validation of assessments and other inputs to form the creation of a care plan.