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 | Â | Â | Â | Â |
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 | Â | Â | Â | Â |
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 |