Care Coordination And Transitions Practice Test

A 27-year-old woman with sickle cell disease is transitioning from pediatric hematology to adult care. Background: Frequent pain crises; history of missed appointments; graduating college; wants more independence. Current status/Plan: On hydroxyurea; needs routine labs and vaccination updates. Team: Pediatric hematologist, adult hematologist, PCP, nurse care coordinator, social worker. Coordination: Adult team requests prior complication history and transfusion records; PCP to manage preventive care. Transition plan: Joint visit proposed; emergency plan reviewed. Which strategy best supports the patient's transition from pediatric to adult care?

A 50-year-old man with schizophrenia, T2DM, and obesity is managed by PCP and psychiatry. Background: On olanzapine; A1c rising; misses labs; limited insight. Current status/Plan: PCP considering metformin intensification; psychiatry considering antipsychotic switch. Team: PCP, psychiatrist, clinic RN, pharmacist, case manager. Coordination: Need shared plan for metabolic monitoring and medication changes. Transition plan: Regular case conferences proposed. Which strategy best supports coordination between primary and specialist care for this chronic disease management?