Identify Opportunities for Care Coordination

  • Create prompts in the clinical workflow within your organization based on patient scenarios

  • Study historical and ongoing initiatives around care coordination internally and externally.

  • Identify the patients as well as the disease entities that need more care coordination.

    • Consider establishing a disease specific registry.

  • Identify the categories of exchange of information that you are trying to target and educate clinicians about them.

    • Categories may include: results from transfer of patients, facilitated transfers, direct, medication orders, etc.

  • Determine other informational needs from evaluations and patient needs.