Care Coordination

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Care Coordination is a deliberate process involving organizing and sharing information and activities among all the participants in patient care with the goal of achieving safer and more effective outcomes. The goal is to understand the patient's needs and preferences and well as the healthcare infrastructure so high-value care can be optimized, delivered, and utilized.

How is Care Coordinated?

The Agency for Healthcare Research and Quality has highlighted a number of activities that are involved in the process of care coordination:

  • Establishing accountability and agreeing on responsibility
  • Communicating/sharing knowledge
  • Helping with transitions of care
  • Assessing patient needs and goals
  • Creating a proactive care plan
  • Monitoring and followup, including responding to changes in patients' needs
  • Supporting patients' self-management goals
  • Linking to community resources
  • Working to align resources with patient and population needs

The goal is to utilize the available resources of the patient, community, and healthcare infrastructure to serve the patient's needs and preferences.

Why is Care Coordination Important?

The Role of Informatics

Submitted by (Tony Zhou)