I: Identifying and documenting OOC patients | II: Contacting OOC patients |
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1. OOC risk prediction tool 2. Automated, real-time list of OOC patients 3. Integration into the clinical EMR | 1. Prioritization of higher risk patients 2. Nurse-led re-engagement 3. Nurse-delivered phone calls to OOC patients 4. Multiple contact attempts 5. Motivational communication |