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

More documents

Recommendations

Info

Information Systems• The use of standardized, integrated electronicinformation systems with functionalitiesessential to care coordination is available to allproviders and patients.– Seamless interoperability– An evidence-based plan of care management– Effective integration of patient information– Patient registries and population-based data– Support for quality improvement and safety– Decision support tools, including provider alerts andpatient reminders.8
Transitions andHand-Offs• Transitions between settings of care are a specialcase because currently they are fraught withnumerous mishaps that can make careuncoordinated, disconnected, and unsafe.– Medication reconciliation– Follow-up tests and services– Changes in plan of care– Involvement of team during hospitalization andbeyond– Communication between settings of care9
Page 1 and 2: Care Coordination:Moving towards Pr
Page 3 and 4: Domains for CareCoordination• The
Page 5 and 6: Healthcare Home• A source of usua
Page 7: Communication• Communication avai
Page 11 and 12: PotentialHIT Structural MeasuresDra
Page 13: NQF Next Steps:Care CoordinationNQF

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

Create successful ePaper yourself

Delete template?

Save as template?