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  1. Coordinating Care for Adults With Complex Care Needs in the Patient-Centered Medical Home: Challenges and Solutions - (WHITE PAPER) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/coordinating-care-for-adults-with-complex-care-needs-white-paper.pdf
    January 01, 2012 - Additionally all members of the care team, including the patient, should have easy access to the plan
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