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Table 2 Numbers of care coordination measure instruments, by domain and perspective

From: A systematic review of the care coordination measurement landscape

Domain

Patient/family perspective

Health care professional perspective

System representative perspective

Total all perspectives

Care coordination activities

    

Establish accountability or negotiate responsibility

22 (44%)

18 (36%)

11 (22%)

50*

Communicate

35 (58%)

17 (28%)

9 (15%)

60*

Interpersonal communication

30 (67%)

10 (22%)

5 (11%)

45

Information transfer

41 (53%)

17 (22%)

21 (27%)

78*

Facilitate transitions across settings

22 (48%)

11 (24%)

14 (30%)

46*

Facilitate transitions as coordination needs change

4 (36%)

2 (18%)

5 (45%)

11

Assess needs and goals

35 (61%)

15 (26%)

7 (12%)

57

Create a proactive plan of care

15 (36%)

15 (36%)

12 (29%)

42

Monitor, follow up, and respond to change

28 (54%)

9 (17%)

16 (31%)

52*

Support self-management goals

32 (60%)

11 (21%)

10 (19%)

53

Link to community resources

13 (46%)

8 (29%)

8 (29%)

28*

Align resources with patient and population needs

13 (43%)

8 (27%)

10 (33%)

30*

Broad approaches potentially related to care coordination

    

Teamwork focused on coordination

16 (44%)

16 (44%)

4 (11%)

36

Health care home

8 (50%)

1 (6%)

7 (44%)

16

Care management

4 (29%)

4 (29%)

6 (43%)

14

Medication management

20 (54%)

8 (22%)

9 (24%)

37

Health IT-enabled coordination

1 (8%)

3 (23%)

9 (69%)

13

  1. N = 96 instruments. Parentheses indicate the percent of domain instruments that map to each perspective.
  2. *One measure instrument mapped to two perspectives for this domain, making the total less than the sum of the perspective columns.