
Perspectives on Care Coordination
- Patient/Family Perspective. Care coordination is any activity that helps ensure that the patient's needs and preferences for health services and information sharing across people, functions, and sites are met over ...
- Health Care Professional (s) Perspective. ...
- System Representative (s) Perspective. ...
Full Answer
What is care coordination and why is it important?
What is care coordination and why is it so important?
- Safely share patient information (such as charts, notes, test results, imaging, etc.) to all of the patient’s healthcare providers and specialists
- Work with a wide array of specialists to create an individualized care plan
- Educate the patient about their diagnosis, treatment, and care delivery
Who is responsible for care coordination?
Care coordination is the responsibility of any system of care (e.g., "accountable care organization [ACO]") to deliberately integrate personnel, information, and other resources needed to carry out all required patient care activities between and among care participants (including the patient and informal caregivers).
What does a care coordinator do?
The main role of care coordinators is to act as a connection between doctors and their patients. This requires very strong communication skills since they speak to patients daily about their condition and treatment plans and inform and update doctors about the patients' progress.
What are care coordinators role?
- Ensuring that the staff deliver high-quality and personalised care to patients
- Managing budgets and ensuring the financial effectiveness of medical care settings
- Recruiting, training and supervising staff and communicating the needs of patients to Medical Staff
- Ensuring health and safety compliance

What does coordination of care mean?
Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care.
What is the goal of care coordination?
The goal of care coordination is to facilitate the appropriate and efficient delivery of health care services both within and across systems. Failures in coordination that affect the financial performance of the system will likely motivate corrective interventions.
What are the steps of care coordination?
The care coordination process includes identifying the target population, assessing needs, planning care, implementing the care plan, and then evaluating options and services to meet the child and family's individual needs.
What is care coordination in social work?
According to the National Quality Forum (NQF), “Care coordination helps ensure a patient's needs and preferences for care are understood, and that those needs and preferences are shared between providers, patients, and families as a patient moves from one healthcare setting to another.
What are examples of care coordination?
Other characteristics of care coordination include:Collaboration between all members of a care team, no matter their specialty, role or location.Clear communication between all parties involved in a patient's care, including the patient/patient's caregiver.More items...
Why is a care coordinator important?
Care coordinators provide extra time, capacity, and expertise to support patients in preparing for clinical conversations or in following up discussions with primary care professionals.
How do I become a good care coordinator?
You need to have an affinity with your clients, listen to their frustrations and provide a listening ear when things go wrong and commit yourself to putting it right. You need to have a sat nav in your head and a good knowledge of the area you are coordinating.
What is the difference between care coordination and care management?
Care coordination aims to offer more longitudinal or holistic care, whereas care management focuses on high-touch and episodic encounters. Each of these jobs has its own set of stakeholders and health IT capabilities. The terms “care coordination” and “care management” are often used interchangeably.
How can care coordination be improved?
Five Key Steps for Better Healthcare CoordinationStep 1: Champion Your Patient-Centric Mission and Vision. ... Step 2: Find and Celebrate Short-Term Accomplishments. ... Step 3: Get Everyone Talking. ... Step 4: Pay Attention to Workflows. ... Step 5: Know Your Technology Capabilities.
What is a care coordinator mental health?
A Care Coordinator is a person who has the responsibility of coordinating, facilitating and integrating mental health treatment, care and support, which is tailored to meet the specific needs of individual consumers.
What are three care coordination models?
PACE.Wraparound Programs.Community HUB.Community Health Workers.Nurse-Family Partnership.Health Homes.Mobile Unit.Supportive Housing.
What is the goal of coordinated care?
The goals of coordinated care are to improve health outcomes by ensuring that care from disparate providers is not delivered in silos, and to help reduce health care costs by eliminating redundant tests and procedures.
Why is acute care coordination important?
Studies show that acute care coordination focusing on communication between provider-handoffs is an important factor for success. Acute care coordination continues when the emergency has passed and the patient is discharged from the hospital.
Why is it important to coordinate health care?
The risk for communication breakdowns, redundancies, and medical errors can increase when disparate providers are involved, making it even more important that health care be synchronized and coordinated to achieve the best clinical results.
What is a guide primary care?
To care for patients with chronic diseases and conditions such as diabetes and high cholesterol , some providers have adopted a “guided primary care” approach. The Guided Care model was developed by a team of researchers at Johns Hopkins University, to respond to the growing challenge of caring for a rapidly aging America.
Can a patient move to a second PAC?
An AHA study found that “a majority of patients admitted to PAC are later transferred to a second PAC setting.”.
What is care coordination?
Care coordination is the synchronized effort of health and social care providers to help a single patient receive comprehensive, integrated care. Care coordination is simple: make sure that all the doctors and social services share relevant information, like test results and medications, so that they can effectively serve the same patients.
How does care coordination benefit patients?
Some of the biggest benefits of care coordination include: Decreasing duplicate services. Lowering the overuse of more intensive procedures. Decreasing preventable hospital admissions and re-admissions. Improving overall patient experiences.
How to implement coordinated care?
It begins by establishing connections with other community providers and working on smooth referral and communication processes. For many situations, a nurse or social worker is well situated to oversee the coordination process.
What is case management in healthcare?
While care coordination refers to the process of synchronized efforts by providers, case management is defined as the tool to help care coordination take place.
What is coordinated care?
Coordinated care is a lot like a wedding planner, where the wedding is a successful health outcome for patients. When each player communicates with each other, they can accomplish a lot more (for a lot less) and make sure people receive the best care possible.
Why is coordinated care important?
The Institute of Medicine has deemed coordinated care a key strategy to improve effectiveness, safety, and efficiency for the American healthcare system.
What is a wedding planner?
For big events like weddings, there is typically a wedding planner. This person makes sure everyone knows their job and that no one is wasting their efforts. They confirm with the venue and remind the catering staff to begin preparing food. With the wedding planner, the event goes smoothly.
What is the goal of care coordination?
The goal of care coordination is to facilitate the appropriate and efficient delivery of health care services both within and across systems. Failures in coordination that affect the financial performance of the system will likely motivate corrective interventions.
How is success and failure in care coordination perceived?
Successes and failures in care coordination will be perceived (and may be measured) in different ways depending on the perspective: patient/family, health care professional (s), or system representative (s). Consideration of views from these three potentially different perspectives is likely to be important for measuring care coordination comprehensively.
What is an entity in health care?
From a health care professional perspective, entities may be individual members of a work group, such as nurses, physicians, and support staff in a particular clinic. Or they may be provider groups, such as a primary care practice, specialty practice, or urgent care clinic.
What is care coordination?
Care coordination can mean a variety of different things, but ultimately, it is a patient-centered approach that strives to meet the needs and preferences of individuals while strengthening the caregiving capabilities of families and service providers.
What are the characteristics of care coordination?
Other characteristics of care coordination include: 1 Collaboration between all members of a care team, no matter their specialty, role or location 2 Clear communication between all parties involved in a patient’s care, including the patient/patient’s caregiver 3 Avoiding unnecessary and/or redundant tests and procedures, which can both improve the care experience and reduce the cost of care 4 Assessing all of a patient’s needs – not just their immediate clinical needs
What is a transplant nurse coordinator?
Nurse coordinators focus on helping patients and their families maximize the quality of life and help them navigate the complex care needed before and after transplantation.
Is care coordination one size fits all?
While there are certain elements of care coordination that are shared across healthcare environments and patient types, it’s not one-size-fits-all. While working at a top children’s hospital, the leader in charge of their care coordination efforts described it as delivering the right care in the right place at the right time.
What is Care Coordination?
The term “Care Coordination” is most commonly associated with medical providers, like doctors and nurses. In the medical provider realm care coordination is undertaken by multiple doctors who agree to share their findings concerning their common patient.
Care Coordination, the HCAN way
At HCAN our goal is also to improve health outcomes and reduce medical costs but we are taking a much different approach, compared to the medical model. Our approach comes from a place of understanding that a person’s health will not improve if other nonmedical factors are not addressed first.
What is care coordination?
Care coordination is a comprehensive process that operates at a clinical, organisational, administrative and policy level. It involves: helping people better understand healthcare services available. assessing and tailoring support to the consumer’s needs and preferences.
Why is care coordination important?
2. Care coordination helps people integrate care across all providers, with the goal of improving health outcomes ...
What are the requirements for a care coordinator?
Few care coordinators have specialist training beyond their professional qualifications. Training is usually informal and provided at work by professionals with experience and related training. They will help you develop: 1 a high level of trust with the consumer and their family or carer 2 collaborative relationships and regular communication with the consumer’s healthcare team 3 a suite of targeted interventions to meet the individual needs of consumers. 10
What is training in healthcare?
Training is usually informal and provided at work by professionals with experience and related training. They will help you develop: a high level of trust with the consumer and their family or carer. collaborative relationships and regular communication with the consumer’s healthcare team.
What is the role of accountability and responsibility in health care?
managing accountability and responsibility among health professionals 2. improving consumer satisfaction with the support and services provided. maximising cost effectiveness from reduced service duplication, reduced costs and better use of specialist services. helping people achieve their desired health outcomes.
Why is care coordination important?
Most healthcare providers agree that care coordination is essential for high-quality care. In the case of chronic illnesses, care coordination reduces the risk of medical errors that can occur when patients see multiple providers. Care coordination does not happen on its own.
What are the goals of care coordination?
Care coordination is seen as the basis for achieving the “ triple aim ” of health reform: 1 Improved patient experience of care (quality and satisfaction) 2 Improved population health 3 Reduced per capita costs
What is coordinated care?
As the Agency for Healthcare Research and Quality (AHRQ) explains, coordinating care involves intentional actions that “guide the delivery of safe, appropriate, and effective care.”. Teamwork, care management and health informatics (such as electronic health records) are important aspects of care coordination.
