Care Coordination Communication Infrastructure HCH Quality Team Practice Improvement Tools - Developing Roles & Standard supporting provider – care Responsibilities – as developing your care coordination 5C coordinator face to face model Manager interactions. Examples for enhancing communication and working at top Enhance working to top of Provider Champion / of license license Medical Director Planning and Managing Care Worksheet – Who does “Share the Care” building what? blocks Care Team / Care Role Activity Analysis Worksheet Coordinator Practice Team Profile – The Five P’s (Purpose, Providers Patients, Professionals, Processes, Patterns) Staff Article “Sharing the Care to Improve Access to Primary Care” Patients “Share the Care – 10 Building Blocks of High Performing Primary Care” presentation: Care Coordination Designated care coordinators (hire HCH Quality Team Care Coordination: Comprehensive Patient Assessment Standard and/or realign current employees) 5D Designated scheduled hours Safety Net Care Coordination Toolkit & Resources Manager Role Description / Job Duties Tools Available for Care Provider Champion / Coordination Medical Director Training for the Role Care Coordination Develop a care coordination HCH Quality Team Standard model for your clinic population Examples of care coordination resources available: 5E 1,2,3,4,5,6 (processes and documentation) Manager Sample Care Plan and Coordination Policy that include Medical Home Practice-Based Care Coordination: A Closing loop on referrals Provider Champion / Workbook Test results / Medical Director communication
Care Coordination Standard 5C Communication Infrastructure supporting provider – care coordinator face to face interactions. Enhance working to top of license “Share the Care” building blocks HCH Quality Team Manager Provider Champion / Medical Director Care Team / Care Coordinator Providers Staff Patients Practice Improvement Tools - Developing Roles & Responsibilities – as developing your care coordination model Examples for enhancing communication and working at top of license Planning and Managing Care Worksheet – Who does what? Role Activity Analysis Worksheet Practice Team Profile – The Five P’s (Purpose, Patients, Professionals, Processes, Patterns) Article “Sharing the Care to Improve Access to Primary Care” “Share the Care – 10 Building Blocks of High Performing Primary Care” presentation: Care Coordination Standard 5D Designated care coordinators (hire and/or realign current employees) Designated scheduled hours Role Description / Job Duties Tools Available for Care Coordination Training for the Role HCH Quality Team Manager Provider Champion / Medical Director Care Coordination: Comprehensive Patient Assessment Safety Net Care Coordination Toolkit & Resources Care Coordination Standard 5E 1,2,3,4,5,6 Develop a care coordination model for your clinic population (processes and documentation) that include Closing loop on referrals Test results / communication HCH Quality Team Manager Provider Champion / Medical Director Examples of care coordination resources available: Sample Care Plan and Coordination Policy Medical Home Practice-Based Care Coordination: A Workbook
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