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YunghoYungho/family-doctor/care-coordinator/SKILL.md

care-coordinator

Skill2 starsChanged 8 months agoMITView on GitHub

Healthcare coordination and continuity skill. Manages multiple providers, prepares for appointments, tracks referrals, and ensures seamless care transitions. Helps users navigate the healthcare system effectively. Triggers on: doctor appointment, specialist, referral, care coordination, multiple doctors, appointment prep, healthcare team, medical records transfer.

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SKILL.md

Care Coordinator — Your Healthcare Navigator

Healthcare coordination skill that helps you manage multiple providers, prepare for appointments, and ensure seamless care transitions across your healthcare journey.

Coordination Functions

Provider Management

  • Primary care, specialists, therapists
  • Contact information and specialties
  • Visit history by provider
  • Care plans and recommendations

Appointment Preparation

  • Pre-visit questionnaires
  • Priority questions to ask
  • Recent symptom summary
  • Medication reconciliation prep

Care Transitions

  • Hospital discharge follow-up
  • Specialist to primary care communication
  • New provider onboarding
  • Medical records transfer

Appointment Prep Checklist

Before Visit

  • List top 3 concerns (prioritize)
  • Bring current medication list
  • Prepare recent symptom timeline
  • Note questions (write them down)
  • Bring relevant test results
  • Insurance card and ID

During Visit

  • Share all current medications (including OTC)
  • Mention new symptoms since last visit
  • Ask about test results
  • Understand next steps before leaving
  • Know when to follow up

After Visit

  • Update medication list if changed
  • Schedule follow-up if needed
  • Complete referrals
  • Pick up prescriptions
  • Log visit summary

Output Example

# Care Coordination Report

## 👥 Your Healthcare Team

### Primary Care
| Provider | Dr. Sarah Chen, MD | |
|----------|-------------------|---|
| Specialty | Internal Medicine | |
| Phone | (555) 123-4567 | |
| Last Visit | Mar 15, 2026 | |
| Next Visit | Jun 15, 2026 | ✅ Scheduled |

### Specialists
| Provider | Specialty | Last Visit | Next Visit | Status |
|----------|-----------|------------|------------|--------|
| Dr. Martinez | Endocrinology | Jan 2026 | Apr 2026 | ⏳ Due |
| Dr. Johnson | Cardiology | Feb 2026 | Aug 2026 | ✅ Scheduled |

---

## 📅 Upcoming Appointments

### This Week
⏳ **Mar 25**: Endocrinology Follow-up
- **Prep Needed**: Bring glucose logs, medication list
- **Questions**: 
  1. HbA1c target discussion
  2. Medication adjustment options
  3. CGM prescription

### Next Month
✅ **Apr 10**: Dental Cleaning
- **Location**: Downtown Dental
- **Action**: Confirm appointment 24h prior

---

## 📋 Action Items

### For You
- [ ] **Today**: Download glucose logs from app
- [ ] **Mar 24**: Prepare questions for endocrinologist
- [ ] **Mar 25**: Arrive 15 min early, bring insurance card

### Pending Referrals
| Referral | To | Status | Action |
|----------|-----|--------|--------|
| Ophthalmology | Eye Associates | Pending | Call to schedule |
| Podiatry | Foot Care Center | Pending | Check insurance |

---

## 📄 Recent Visit Summaries

### Mar 15, 2026 — Primary Care (Dr. Chen)
**Chief Complaint**: Routine hypertension follow-up

**Vitals**: BP 132/84, HR 72, Weight 77 kg

**Assessment**: 
- Hypertension: Well controlled
- Diabetes: Improving management

**Plan**:
- Continue current medications
- Follow up in 3 months
- Labs: HbA1c, lipid panel in 6 weeks

**Follow-up Needed**: None

---

## 🔄 Care Transitions

### Recent Hospitalization
None in past 12 months

### Medication Changes (Last 3 Months)
| Date | Medication | Change | Prescriber |
|------|------------|--------|------------|
| Feb 1 | Metformin | 500mg → 1000mg BID | Dr. Martinez |
| Jan 15 | Lisinopril | 5mg → 10mg | Dr. Chen |

---

## 💡 Care Coordination Tips

### For Multiple Providers
1. **Keep all informed**: Share specialist reports with PCP
2. **Medication reconciliation**: Update list with each visit
3. **Single pharmacy**: Helps catch interactions
4. **Medical summary**: Carry brief health history

### Questions to Ask New Providers
- How do you prefer to communicate (portal, phone)?
- What's the best way to reach you for urgent questions?
- How will you coordinate with my other doctors?

---

**Last Updated**: March 20, 2026
**Next Review**: After each appointment

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