VIable

NDHI
NAT IONAL DIALOGUE FOR
Healthcare Innovation
• All patients at Mayo Clinic are also assigned a
broader care team, including:
––
Primary care physician
--
Leads the care team by guiding clinical
decisions and offering expertise about
complex care needs
––
Nurse practitioners and physician assistants
--
Perform acute care and chronic
disease management
--
Coordinate with physicians for
healthcare planning
––
Licensed practical nurses, medical assistants,
and clinical assistants
--
Prepare patient for care visits
--
Arrange preventive programs and social
services
––
Other relevant roles that vary by case, such as
social workers, mental health providers, and
pharmacists
Value Delivered
• Engages the patient in care management
• Improves patient’s health status over time
• Leverages all care providers’ skills to balance patient
care across the team
Path Forward
Care Coordination requires new workflows and processes,
as well as a mindset shift toward collaborative
care management. Mayo Clinic is committed to
embracing and facilitating these changes, in order to
deliver truly coordinated care.
The health system is also exploring the implementation
of new technologies, such as remote monitoring
and telemedicine, to minimize coordination gaps and
enhance patient convenience.
Although medical evidence supports the importance of
moving to new care models, reimbursement has been
slow to evolve. Mayo Clinic is committed to providing
enhanced primary care services and will continue to
work with payers in the development of reimbursement
models that fairly compensate primary care practices.
Care Coordination
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