Coordinating care in an integrated delivery system.
To keep patients from falling through the cracks, each point of service in a healthcare system must understand its role in the patient's overall care and have access to the right information at the right time. Communication and a system's organization play significant roles in making coordinated care work: Some health systems prefer to keep patients with common diagnoses in service lines that take them from preadmission to home care; others set up separate organizational entities to coordinate care for all patients with chronic illness. Regular meetings on patient status, standardized forms and clear job descriptions all help minimize confusion.
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D019090:Case Management; D003266:Continuity of Patient Care / Q000458:organization & administration* / Q000592:standards; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D019468:Disease Management; D004282:Documentation; D006075:Governing Board / Q000458:organization & administration; D006694:Holistic Health; D006699:Home Care Services / Q000191:economics / Q000458:organization & administration / Q000592:standards; D008329:Managed Care Programs / Q000458:organization & administration; D008499:Medical Records; D016344:Medicare Part A; D009937:Organizational Objectives; D010346:Patient Care Management; D011357:Product Line Management; D014481:United States; D014600:Utilization Review