Care Coordination Guide

This report begins by firmly placing the patient at the center of the patient-centered medical home. Christine Bechtel, vice president, National Partnership for Women & Families captures this perfectly in the foreword with this succinct thought: “I just want my doctors to talk to each other.” The expert articles offer insight into what is known and tested about care coordination, and are designed to offer a roadmap for new and emerging programs. The case examples in this report represent a range of programs at various stages in the journey. Care coordination is not a cookie-cutter exercise for the patient; its implementation in programs across practice types, sizes, and even practice sites within the sameorganization may be similarly varied. There is much to learn from what is being tried, tested and applied bythose on the care coordination journey.

The report features three core elements:

  1. Expert-authored articles on the definition, role and function of care coordination, as well as tools forimplementation, and measurement and monitoring of its effectiveness.
  2. Case examples.
  3. Summary of survey responses from select practices.

We hope you find this report to be thought-provoking, informative and inspiring. We encourage you to reach out to both the sites that were profiled and those with selected examples listed as they can offer valuable insight as you begin your own journey.

You may download the report below.