Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs and preferences are known ahead of time and communicated at the right time to the right people, and that this information is used to provide safe, appropriate, and effective care to the patient.
- Care Coordination Measures Atlas Update
The Care Coordination Measures Atlas, first published in 2011, is a compendium of existing measures of care coordination. The 2014 update expands that effort, offers new measures with a focus on those that reflect coordination efforts within the primary care setting, and includes a section on emerging trends in care coordination measurement.
- Care Coordination Accountability Measures for Primary Care Practice
This report presents measures selected systematically from the Care Coordination Measures Atlas that are well-suited for use by health plans and insurers to assess the quality of coordination in primary care practices and by primary care practices themselves to assess their own performance.
- Care Coordination Quality Measure for Primary Care
The Care Coordination Quality Measure for Primary Care (CCQM-PC) is a survey of adult patients' experiences with care coordination in primary care settings. It was developed to comprehensively assess patient perceptions of the quality of their care coordination experiences. The CCQM-PC is designed to be used in primary care research and evaluation, with potential applications to primary care quality improvement. Guidance regarding the fielding of the survey is provided in addition to the full survey, which is in the public domain and may be used without additional permission.
- Clinical-Community Relationships Measures Atlas
The Clinical-Community Relationships Measures Atlas was developed to identify ways to further define, measure, and evaluate programs based on clinical-community relationships for the delivery of clinical preventive services. This Atlas provides a measurement framework and listing of existing measures of clinical-community relationships and is intended to support research and evaluation in the field.
- Clinical-Community Relationships Evaluation Roadmap
The Clinical-Community Relationships Evaluation Roadmap addresses clinical-community resource relationships for selected clinical preventive services, but the principles and questions offered may also apply to other clinical and non-clinical services. The Roadmap also may prove applicable to those interested in effective relationships and coordination between clinics and community organizations such as schools or providers of social services.
- InfoSAGE: Information Sharing Across Generations
It is a free web resource to facilitate care coordination among the patient and family members and their medical team. Its purpose is to support older patients and their families, who often have difficulty reconciling and managing medications after a hospital discharge, leading to adverse drug events and harm. It includes a medication manager to help older adults and their families keep an accurate medication list, coordinate the list with prescribing clinicians, track the impact of medications on symptoms, view medication precautions and drug-drug interactions, and become more engaged as partners in their care. In addition, InfoSAGE includes a calendar to keep track of medical appointments and a message board for care-related communication.
- Care Management Issue Brief: Implications for Medical Practice, Health Policy, and Health Services Research
This issue brief highlights three key strategies to enhance existing or emerging care management programs: (1) identify population(s) with modifiable risks; (2) align care management services to the needs of the population(s); and (3) identify, prepare, and integrate appropriate personnel to deliver the needed services. This brief summarizes recommendations for decision makers in practice and policy, as well as for future research.
- The Patient Centered Medical Home Resource Center provides links to research on care coordination.
- Chartbook on Care Coordination National Healthcare Quality and Disparities Report
The Care Coordination chartbook includes a summary of quality and disparities across measures of care coordination and figures illustrating select measures of care coordination from the National Healthcare Quality and Disparities Report.