Optimal care coordination requires integration of all aspects of the health delivery system impacting the patient.

Introduction

Care coordination is not a new idea. Primary care practitioners have long recommended adoption of the patient centric medical home model because coordinated care improves overall patient outcomes. Nurses working in the community have influenced the evolution of care coordination for more than a century. And a range of clinicians have participated in roles such as care navigators, case managers, chronic disease management nurses, home health providers, and care coordinators.

As clinicians we are always looking to adopt the most optimal models to improve how care is planned and delivered. Improving care coordination is a key component in improving patient care outcomes and becoming a truly patient-centric care organization.

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