Reducing Care Fragmentation
managed to prevent harm to patients from medical or administrative errors. Care coordination, a core function of the patient-centered medical home (PCMH), has been defined as “the deliberate organization of patient care activities between two or more participants involved in a patient’s care to facilitate the appropriate delivery of
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Reducing Care Fragmentation Executive Summary
www.improvingchroniccare.orgRELATIONSHIPS & AGREEMENTS Why it’s important: Referrals and transitions work best when all parties— patients, primary care providers, and consultants—
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IMPROVING CARE FOR PEOPLE WITH LONG-TERM …
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4. Referral Coordinator Job Description
www.improvingchroniccare.orgReferral Coordinator Job Description We have reviewed many job descriptions for positions labeled “care coordinators,” “referral coordinators,” or “referral managers” and …
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1. nCQA Care Coordination Process Measures
www.improvingchroniccare.org(2) identify and manage patient populations (3) plan and manage care (4) provide self‐care and community support (5) track and coordinate care
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