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1. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadL32Ue145339.zip?contentType=application/zip
   January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

2. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadGxjH7145153.zip?contentType=application/zip
   January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

3. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/download56P4z145424.zip?contentType=application/zip
   January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

4. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadwvrVs145435.zip?contentType=application/zip
   January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

5. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadDKw8S145432.zip?contentType=application/zip
   January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

6. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/download3qO75145536.zip?contentType=application/zip
   January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

7. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadS0uZD145424.zip?contentType=application/zip
   January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

8. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/download990AF145340.zip?contentType=application/zip
   January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

9. Slide 1
   ecareplan.ahrq.gov/collaborate/download/temp/downloadg6yD1151041.zip?contentType=application/zip
   January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

10. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadU8xpz151056.zip?contentType=application/zip
    January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

11. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadu9IYr151005.zip?contentType=application/zip
    January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

12. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadg4G4w171730.zip?contentType=application/zip
    September 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

13. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/download4r56V151120.zip?contentType=application/zip
    September 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

14. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/download65B83145621.zip?contentType=application/zip
    January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

15. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadC0Y6i145521.zip?contentType=application/zip
    January 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

16. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadDl3JL145328.zip?contentType=application/zip
    August 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

17. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadJ80Qc145444.zip?contentType=application/zip
    August 01, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

18. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/downloadf1HIp151228.zip?contentType=application/zip
    August 11, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

19. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/download2xR71145610.zip?contentType=application/zip
    August 11, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan

20. Slide 1
    ecareplan.ahrq.gov/collaborate/download/temp/download1dlID145432.zip?contentType=application/zip
    August 11, 2021 - Revised Track Objectives: Main Track Goal – Generate and update the care plan in the clinical setting … Describes Personas engaging with a service, technology, or setting over a period of time to accomplish … There is a new setting (PCP specialist and the home) Use Cases – 7 use cases for the MCC care plan. … Data gathered in the home setting is shared. Individual is discharged from Hospital to SNF. … MCC eCare Plan Use Cases Generate and Update Care Plan in Clinical Setting Expose (share) eCare Plan