Task Force on Care Coordination
The PCPCC care coordination task force is a task force of the PCPCC Center for Multi-stakeholder Demonstration. The task for will be exploring the role and issues associated with care coordination and the medical home. Task force efforts will include presentations by experts, discussions, and writing papers.
Task Force Co-Chairs are Julie Schilz, BSN, MBA, Colorado Beacon Consortium, Director, Community Collaboratives & Practice Transformation and Guy Mansueto, Vice President of Marketing for Phytel.
PCPCC staffing includes consultant Nandan Kenkeremath, J.D., Principal, Leading Edge Policy and Strategy; PCPCC Executive Director Edwina Rogers; PCPCC Chief Executive Officer Amy Gibson; and PCPCC Policy Director Ana Lojanica.
Quality problems and spiraling costs have resulted in widespread interest in solutions that improve the effectiveness and efficiency of the health care system. Care coordination has been identified by the Institute of Medicine as a key strategy for potentially accomplishing these improvements.
- Lack of coordination can be unsafe, even fatal, when: abnormal test results are not communicated correctly, prescriptions from multiple doctors conflict with each other, or primary care physicians do not receive hospital discharge plans for their patients;
- Uncoordinated care is also costly because of duplicated services, preventable hospital readmissions, and overuse of more intensive procedures.
- Models of care coordination are demonstrating how health care can be delivered more smoothly and efficiently, particularly for people with chronic illnesses and complex needs. Though details differ, the best of these models share some common characteristics:
- Individuals and families at the center of care planning and delivery;
- Care continuity across medical and non-medical services and from acute to long-term settings;
- Strong clinical and organizational support for effectively coordinating care;
- Appropriate payment incentives for coordinating care and integrating benefits;
- Systems for including the consumer voice in care design and plan governance.
CCT Webinars
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Wed, 06/08/2011
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Thu, 02/24/2011
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Thu, 02/10/2011
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Thu, 01/27/2011
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Reference Materials and Papers
The attached resources expand on the role of care coordination as a key component of the PCMH. These are free to be downloaded to learn more about this topic. Please use appropriate acknowledgment and citation when sharing this content.
- Guided Care: Better Care for Older People with Chronic Conditions - 08.08.2011
- Technical Assistance for Implementing Guided Care - 08.08.2011
- Antonelli: Wiring Care Coordination Into Medical Homes - 12.08.09
- Kenkeremath: Policy Framework For Focusing Care Coordination Resources - 12.08.09
- Owens: Focusing Care Coordination - 12.08.09
- Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies: Volume 7—Care Coordination
- Care Coordination Measures Atlas
- Connecting Those at Risk to Care
- Care Coordination within a Medical Home (Washington State)
- Care Coordination Definitions
- Making Care Coordination a Critical Component of the Pediatric Health System: A Multidisciplinary Framework
- Diffusing Care Coordination Models
- Full Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries
- National Transitions of Care Coalition
- Care Continuum Alliance
- National Coalition on Care Coordination
