John is a 54 year old married field technician with metabolic syndrome who is experiencing chest pain
1) Develop a concise Patient Care Coordination Plan(PCCP) comprising a series of defined objectives and strategies for the patient. Include bio-psycho-social elements that can impact the triple Aim: better outcomes, better care experience and lower per capita cost (one page)
2) Develop a quantitative Patient report Card(PRC) that supports/tracks the PCCP (one page)
3) Discuss the rationale for the elements included within the PCCP, Cite all published research used when ever possible( 3 pages)
4) must be updated on the progress and initial draft.