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Table 6 Interpretation of gaps between current capability of HIT and future potential for HIT to support care coordination

From: Care coordination gaps due to lack of interoperability in the United States: a qualitative study and literature review

 

I.

II.

AHRQ care coordination activities

Current capability of HIT

Future potential for HITa

Establish accountability or negotiate responsibility

0

Low

Communicate

  

 Interpersonal communication

+

Low

 Information transfer

0

High

Facilitate transitions

0

Moderate

Assess needs and goals

++

Moderate

Create a proactive plan of care

0

Moderate

Monitor, follow up, and respond to change

+

High

Support self-management goals

0

High

Link to community resources

+

High

Align resources with patient and population needs

++

High

  1. a‘Low’ potential indicates that HIT has a limited role. ‘Moderate’ potential indicates that HIT could an instrumental support for people and processes. ‘High’ potential indicates that the care coordination activity could be almost completely automated with oversight by clinicians