Reva Winkler, M.D., M.P.H.

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Principles forCare Coordination1. Care coordination is important for everyone.2. Some populations are particularly vulnerable tofragmented, uncoordinated care.3. Suitable for measurement and accountability atmultiple levels, including the clinician level.4. Patient and family surveys of their experiencewith care coordination efforts are essential.4
Healthcare Home• A source of usual care selected by the patient• The medical home should function as the centralpoint for coordinating care around the patient’sneeds and preferences.• The medical home should also coordinatebetween all of the various team members andnon-clinical services as needed and desired bythe patient :– includes the patient, family members, othercaregivers, primary care providers, specialists, otherhealthcare services5
Page 1 and 2: Care Coordination:Moving towards Pr
Page 3: Domains for CareCoordination• The
Page 7 and 8: Communication• Communication avai
Page 9 and 10: Transitions andHand-Offs• Transit
Page 11 and 12: PotentialHIT Structural MeasuresDra
Page 13: NQF Next Steps:Care CoordinationNQF

Reva Winkler, M.D., M.P.H.

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