title: PCMH: how to make care coordination work.
authors.forename: Pamela Lewis
authors.initials: PL
authors.lastname: Dolan
mesh_terms: D003266:Continuity of Patient Care / Q000458:organization & administration*; D006040:Goals; D006801:Humans; D033183:Interdisciplinary Communication; D018802:Patient-Centered Care / Q000458:organization & administration* / Q000592:standards; D011785:Quality Assurance, Health Care; D014481:United States