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pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
January 01, 2012 - Coordination
Understanding the Factors that Affect Care Coordination
May 2012 Podcast
Speaker … and help them have an active role in the
coordination of their care. … And you know, again, here’s the link between care
coordination and communication. … have a role in the coordination of their own care. … coordination and what their
role is in terms of care coordination – that they may need to ask “when
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pcmh.ahrq.gov/ncepcr/research/care-coordination/index.html
September 01, 2022 - Coordination
Patient Centered Medical Home (PCMH)
Care Management
Disseminating … Coordination
Care coordination, a key element for delivery of quality primary care, involves … AHRQ provides data, tools, and research to improve care coordination. … coordination, the medical neighborhood, team-based care, and behavioral health integration. … Coordination.
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pcmh.ahrq.gov/ncepcr/care/coordination.html
August 01, 2018 - Coordination
Care coordination involves deliberately organizing patient care activities and … Why Is Care Coordination Important? … How Can Care Coordination Be Put Into Action? … a conceptual framework for care coordination. … measure care coordination and learn more about how to incorporate care coordination into routine primary
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pcmh.ahrq.gov/sites/default/files/attachments/care%20coord%20account%20measures%20for%20pc.pdf
January 01, 2012 - Care Coordination Accountability Measures for Primary Care Practice
Care Coordination … assessing care
coordination. … Care Coordination Accountability Measures for Primary Care Practice
18
Focus on Care Coordination … Focus on Care Coordination
The instrument is designed to focus on care coordination. … coordination: overall coordination
of care and coordination of care at a visit.
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pcmh.ahrq.gov/ncepcr/communities/pbrn/registry/care-coordination-institute.html
January 01, 2012 - More topics in this section
National Center for Excellence in Primary Care … Communities
Reports and Other Publications
Funding Opportunities
Care … Coordination Institute
Registered Date:
January 1, 2012
Network Acronym:
CCI … Behavioral health
Cardiovascular disease including stroke and HTN*
Comparative effectiveness research
Coordination … of care for complex patients
Developmental delays, attention deficit hyperactivity disorder and autism
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pcmh.ahrq.gov/innovations/hub/quickstart-guide.html
March 01, 2021 - Community Care Coordination Pathways
A Companion to the Pathways Community HUB … The HUB is a community care coordination approach focused on reducing modifiable risk factors for high-risk … coordination services, especially within the community setting. … Community Care Coordination Pathways (PDF, 1.1 MB)
Publication: 15(16)-0070-1 … : The Quick Start Guide to Developing Community Care Coordination Pathways .
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pcmh.ahrq.gov/ncepcr/research/care-coordination/pcmh/define.html
August 01, 2022 - Coordination
Patient Centered Medical Home (PCMH)
Defining the PCMH
FAQ and Contact … chronic care. … Coordinated Care
The primary care medical home coordinates care across all elements of the broader … Such coordination is particularly critical during transitions between sites of care, such as when patients … https://www.ahrq.gov/ncepcr/research/care-coordination/pcmh/define.html
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pcmh.ahrq.gov/ncepcr/research/care-coordination/pcmh/index.html
August 01, 2022 - Coordination
Patient Centered Medical Home (PCMH)
Defining the PCMH
FAQ and Contact … of primary care. … their approach to organizing and delivering care. … changes with the goal of improving quality and outcomes of care. … https://www.ahrq.gov/ncepcr/research/care-coordination/pcmh/index.html
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pcmh.ahrq.gov/page/roles-patient-centered-medical-homes-and-accountable-care-organizations-coordinating-patient
December 01, 2010 - The Goals of Care Coordination
The two fundamental goals of care coordination are:
To transfer … Definitions of Care Coordination Activities 1
Care coordination includes six specific activities: … care coordination. … In addition to primary care-based care coordination, ACOs should develop additional care coordination … The Goals of Care Coordination
II. Definitions of Care Coordination Activities
III.
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pcmh.ahrq.gov/sites/default/files/attachments/Coordinating%20Care%20in%20the%20Medical%20Neighborhood.pdf
June 01, 2011 - Establishing care coordination agreements. … are critical for good care
coordination. … coordination in inpatient care is needed. … for the Elderly (PACE)
Pay-for-performance
(care coordination)
Direct payments for care
coordination … care coordination measurement, documenting and mapping more than 60 existing measures to key
care coordination
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pcmh.ahrq.gov/sites/default/files/attachments/coordinating-care-in-the-medical-neighborhood-white-paper.pdf
June 01, 2011 - Establishing care coordination agreements. … are critical for good care
coordination. … coordination in inpatient care is needed. … for the Elderly (PACE)
Pay-for-performance
(care coordination)
Direct payments for care
coordination … care coordination measurement, documenting and mapping more than 60 existing measures to key
care coordination
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pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable … : Addendum 1
The Five Principles of Effective Primary Care-Based Care
Coordination for Reducing Potentially … care coordination. … patient home environment, and care coordination, if appropriate … Care Coordination for Reducing Potentially Preventable Readmissions
Integrating the Five Principles
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pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
June 01, 2020 - and the Organization of Care. … In primary care, when CMS decided, CMMI specifically, to develop new models of payment for primary care … Mechanisms of Coordination
As mentioned above, study participants often discussed overlap and coordination … Dynamics of Interagency Coordination in HSR and PCR
The dynamics involved in agency coordination of … ’s not the whole primary care.
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pcmh.ahrq.gov/sites/default/files/attachments/roles-of-pcmhs-and-acos-in-coordinating-patient-care-white-paper.pdf
December 01, 2010 - The Goals of Care Coordination
The two fundamental goals of care coordination are:
To transfer … Definitions of Care Coordination Activities1
Care coordination includes six specific activities: … from care coordination. … o In addition to primary care-based care coordination, ACOs should develop additional
care coordination … The Goals of Care Coordination
II. Definitions of Care Coordination Activities
III.
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pcmh.ahrq.gov/sites/default/files/attachments/Roles%20of%20PCMHs%20And%20ACOs%20in%20Coordinating%20Patient%20Care.pdf
December 01, 2010 - The Goals of Care Coordination
The two fundamental goals of care coordination are:
To transfer … Definitions of Care Coordination Activities1
Care coordination includes six specific activities: … from care coordination. … o In addition to primary care-based care coordination, ACOs should develop additional
care coordination … The Goals of Care Coordination
II. Definitions of Care Coordination Activities
III.
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pcmh.ahrq.gov/sites/default/files/attachments/Prospects+for+Care+Coord.+Using+Elect+Data+Sources+3-16-12.pdf
June 01, 2012 - coordination, and ultimately care delivery … care
coordination). … v Adapted from Care Coordination Measures Atlas. … plans as it relates to care coordination. … Care Coordination Atlas.
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pcmh.ahrq.gov/page/coordinating-care-adults-complex-care-needs-patient-centered-medical-home-challenges-and
January 01, 2012 - who work with other health care professionals to provide comprehensive care management, care coordination … Care Coordination Tier Assignment Tool, version 1.0: Health Care Home Initiative.2010. … Panel 1: care coordination among specialists, primary care, care management, and patients. … Effects of care coordination on hospitalization, quality of care, and health care expenditures among … or care coordination activities using that term. 3
4.
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pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms-table-2
June 01, 2011 - Workforce/Workflow Approaches (All Clinicians) Dedicated care coordination staff in the PCMH Systematizing … care coordination activities within the PCMH Getting PCCs more involved in inpatient care Referral Practices … and Care Coordination Among Clinicians (Primary Care Clinicians) Referring to good neighbors Appropriate … coordination (e.g., medical home care management fees) Payments for ACOs (e.g., shared savings, global … payments) Bundled payments for episodes of care Pay-for-performance (P4P) for care coordination processes
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pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms
June 01, 2011 - Establishing care coordination agreements. … , are essential to effective care coordination. … are critical for good care coordination. … coordination in inpatient care is needed. … care coordination measurement, documenting and mapping more than 60 existing measures to key care coordination
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pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/index.html
July 01, 2021 - More topics in this section
Health Systems Research
Health Services and Primary Care … Primer: Reducing Healthcare Carbon Emissions
Health Services and Primary Care … Primary Care Research .
Recommendations .
Next Steps . … Overlap and coordination that occurs between research portfolios. … Enhancing cross-agency coordination and more sophisticated data systems would lead to improved impact