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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.