Reducing Care Fragmentation
a Care Coordination Model (Figure 1). The goal of care coordination is high-quality referrals and transitions that meet the six IOM aims for high-quality health care, and assure that all involved providers, institutions and patients have the information and resources they need to optimize a patient’s care. The Model looks at care coordination ...
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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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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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