Care Coordination
Coordinating care, at both systems and individual levels, is important for health system efficiency and good health outcomes. Coordination is needed across settings and across payers and programs, especially for dual eligibles, and vulnerable populations.
States are active in building systems of coordinated, integrated care, especially by promoting medical homes and fostering community-based services in lieu of institutional care. The ACA bolsters these existing efforts. The ACA also offers opportunities for testing new models of integrated care, and creates new federal offices with mandates to promote care coordination. Finally, the ACA includes provisions to ensure continuity of care for people transitioning between coverage types.
comment, ask a question or post a document
Login or Register to participate in this discussion or post a document
North Carolina
Who is leading this charge, what model are you using? Is it coordinated care within different disciplines?
Karen O'Donnell Adult Geriatric NP Student UNC CH School of Nursing, May 2013
Maine
Hi Karen,
Yours is a good question and for us here at NASHP is varies depending on the project. We have approached care coordination within Medical Homes, for example, as communicating information between primary care and community resources as well as with specialty medical providers. If you follow the link I’ve provided with this message you will find our Medical Home map, which will provide information specific to what different states have done regarding the medical home.
It is similar for our Assuring Better Child Health and Development (ABCD) work. We’ve looked at care coordination between physicians the entities where they refer kids identified as having, or being at risk for developmental delay (e.g. specialty providers, or Early Intervention). We also look at whether or not the referring physician receives information about the outcome of his/her referral. The states have adopted different strategies for doing this, but I’ve also included links to a few briefs from the project that will provide more information.
Please don’t hesitate to follow up if you have any further questions!