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Care Coordination: The organization of a patients care across multiple health care providers. (Healthcare.gov)
To achieve effective patient management, the Chronic Care Model promotes comprehensive system change encompassing six broad areas: health care organization, linkages to community resources, self-management support, delivery system redesign, decision support, and information systems.
A diagram of the Population Care Coordination Process outlines the six step of the process. These steps include data analysis, selection, assessment, planning, interventions and monitoring. These steps are completed at the population and individual levels.
Care coordination software is a type of technology that is used to help healthcare providers and patients manage the care process more effectively. This software can come in many different forms, including web-based platforms, mobile apps, and specialized systems for specific types of care.
Examples of specific care coordination activities include: Establishing accountability and agreeing on responsibility. Communicating/sharing knowledge. Helping with transitions of care. Assessing patient needs and goals. Creating a proactive care plan.
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The Chronic Care Model (CCM) identifies the essential elements of a health care system that encourage high-quality chronic disease care. These elements are the community, the health system, self-management support, delivery system design, decision support and clinical information systems.
The Institute of Medicine (IOM) has identified six crucial domains of healthcare quality: patient safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity [1]. Each domain has a vital role in the overall quality of care.
Successful care coordination requires several elements: Easy access to a range of health care services and providers. Good communications and effective care plan transitions between providers. A focus on the total health care needs of the patient. Clear and simple information that patients can understand.

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