Chartbook on Care Coordination


Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am Med Inform Assoc 2008 Sep-Oct;15(5):585-600. Accessed June 16, 2016.

Aronow WS. Treatment of systemic hypertension. Am J Cardiovasc Dis 2012;2(3):160-70. Accessed June 16, 2016.

Berkman ND, DeWalt DA, Pignone MP, et al. Literacy and health outcomes: summary. Evidence Report/Technology Assessment No. 87. Rockville, MD: Agency for Healthcare Research and Quality; 2004. AHRQ Publication No. 04-E007-1. Accessed June 16, 2016.

Cross DA, Cohen GR, Nong P, et al. Improving EHR capabilities to facilitate stage 3 meaningful use care coordination criteria. AMIA Annu Symp Proc 2015 Nov 5;2015:448-55. eCollection 2015. Accessed June 16, 2016.

Dean M, Oetzel J, Sklar DP. Communication in acute ambulatory care. Acad Med 2014 Dec;89(12):1617-22.

Desai AS, Stevenson LW. Rehospitalization for heart failure. Circulation 2012;126:501-6.

Dowd B, Karmarker M, Swenson T, et al. Emergency department utilization as a measure of physician performance. Am J Med Qual 2014;29(2):135-43. Accessed June 16, 2016.

Enard KR, Ganelin DM. Reducing preventable emergency department utilization and costs by using community health workers as patient navigators. J Healthc Manag 2013;58(6);412-28. Accessed June 16, 2016.

Ford EW, Hesse BW, Huerta TR. Personal Health Record Use in the United States: Forecasting Future Adoption Levels. J Med Internet Res 2016 Mar 30;18(3):e73. Accessed June 16, 2016.

Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from hospital. Ann Intern Med 2003;138(3):161-7.

Gallahue FE, Betz AE, Druck J, et al. Ready for discharge? A survey of discharge transition-of-care education and evaluation in emergency medicine residency programs. West J Emerg Med 2015;16(6):879-84.

Gao J, Moran E, Li YF, et al. Predicting potentially avoidable hospitalizations. Med Care 2014 Feb;52(2):164-71.

Hasan O, Meltzer DO, Shaykevih SA, et al. Hospital readmission in general medicine patients: a prediction model. J Gen Intern Med 2010;25(3):211-9. Accessed June 16, 2016. EHR Incentives and Certification. May 13, 2015. Available at Accessed June 16, 2016.

Henricks WH. "Meaningful use" of electronic health records and its relevance to laboratories and pathologists. J Pathol Inform 2011 Feb 11;2:7. Accessed June 16, 2016.

Horwitz LI, Moriarty JP, Chen C, et al. Quality of discharge practices and patient understanding at an academic medical center. JAMA Intern Med 2013;173(18):1715-22. Accessed June 16, 2016.

Hripcsak G, Vawdrey DK, Fred MR, et al. Use of electronic clinical documentation: time spent and team interactions. J Am Inform Assoc 2011;18:112-7.

Institute of Medicine, Board of Health Care Services. Future directions for the National Healthcare Quality and Disparities Reports. Washington, DC: National Academies Press; 2010.

Kitson NA, Price M, Lau FY, et al. Developing a medication communication framework across continuums of care using the Circle of Care Modeling approach. BMC Health Serv Res 2013 Oct 17;13:418. Accessed June 16, 2016.

Kuppasani K, Reddi AS. Emergency or urgency? Effective management of hypertensive crises. JAAPA 2010 Aug;23(8):44-49.

Nwankwo T, Yoon SS, Burt V, et al. Hypertension among adults in the United States: National Health and Nutrition Examination Survey, 2011-2012. NCHS data brief, no 133. Hyattsville, MD: National Center for Health Statistics. 2013. DHHS Publication No. 2014-1209. (777.33 KB). Accessed June 16, 2016.

Persell SD, Eder M, Friesema E, et al. EHR-based medication support and nurse-led medication therapy management: rationale and design for a three-arm clinic randomized trial. J Am Heart Assoc 2013 October;2(5):e000311. Published online 2013 Oct 25. Accessed June 16, 2016.

Rau J. Nearly 1,500 hospitals penalized under Medicare program rating quality. Kaiser Health News 2013 Nov 14. Accessed June 16, 2016.

Rudd RA, Aleshire N, Zibbell JE, et al. Increases in drug and opoid overdose deaths—United States, 2000-2014. MMWR 2016;64(50):1378-82.

U.S. Department of Health and Human Services. 2011 report to Congress: national strategy for quality improvement in health care. Washington, DC: HHS; March 2011. Accessed June 16, 2016.

U.S. Department of Health and Human Services. 2013 annual progress report to Congress: national strategy for quality improvement in health care. Washington, DC: HHS; July 2013, updated July 2014. Accessed June 16, 2016.

Weinick RM, Burns RM, Mehrotra A. How many emergency department visits could be managed at urgent care centers and retail clinics? Health Aff 2010;29(9):1630-6. Accessed June 16, 2016.

Wright A, Sittig DF, Ash JS, et al. Lessons learned from implementing service-oriented clinical decision support at four sites: a qualitative study. Int J Med Inform 2015 Nov;84(11):901-11. Accessed June 16, 2016.

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Page last reviewed July 2016
Page originally created July 2016
Internet Citation: References. Content last reviewed July 2016. Agency for Healthcare Research and Quality, Rockville, MD.