Care Management
cm_post_pna_moderate_tentative_001
Ms. Kapua Care Management Handoff
Ms. Kapua is a 52-year-old woman recently discharged after community-acquired pneumonia complicated by a COPD exacerbation. Her hospital discharge referral places her in the transitions-of-care intake queue for medication reconciliation, post-discharge monitoring, smoking-cessation support, recovery planning, and exacerbation-prevention coordination as appropriate. Work the case through care-management intake, outreach, assessment, and a finalized care plan.
🧰 Workspace
| Resource | Location |
|---|---|
| Patient data & care-manager tools | chi-bench MCP server |
| Handbook | /workspace/skills/managed-care-operations-handbook/SKILL.md |
| Working files | /logs/artifacts/workspaces/<case-id>/care-manager/ |
| Shared handoff | /logs/artifacts/workspaces/<case-id>/shared/ |
| Tool reference | /opt/chi-bench-task-assets/tool_reference.md |
📋 Rules
- Use only care-manager namespaces:
cm_intake,cm_chart,cm_outreach,cm_assessment,cm_care_plan - Do not inspect simulator source, tests, solution, or expectations files
- Do not fabricate evidence — every structured field must be grounded in the chart or the outreach transcript
- Mark
consent_obtainedtrue only after the consent script was actually performed in the transcript