Care Coordination Model - Improving Chronic …

The MacColl Institute for Healthcare Innovation, Group Health Cooperative 2010 Community AgenciesHospitals & ERsMedical SpecialistsCare Coordination ModelPatient-centered Medical HoMeAccountabilityPatient SupportHigh-quality referrals & transitions for providers & patients Involved providers receive the information they need when they need it Practice knows the status of all referrals/transitions involving its panel Patients report receiving help in coordinating careRelationships & AgreementsConnectivity

The MacColl Institute for Healthcare Innovation, Group Health Cooperative © 2010 Community Agencies Hospitals & ERs Medical Specialists Care Coordination Model

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