With almost half of adults in the United States living with at least one chronic condition, the care and management of these patients in the current fragmented health care system is an area in need of further research and innovation (CDC, 2012). Care coordination has the potential to positively impact both cost and outcomes. Care coordinators take responsibility for the coordination and implementation of a patient’s care plan, bridging the gap between patient, practice and health care system in order to improve and facilitate continuity of care.
Iora Health has led the charge of innovative primary care by providing team based care in a range of practices around the country. Every patient is seen by a physician and a health coach to receive collaborative, patient-centered care. To share more about Iora Health’s approach to care coordination, as well as care coordination efforts in larger health care systems, we've invited the following panelists to lead our discussion:
• Tara McCoy, health coach, Collective Primary Care, Brooklyn NY
• Jeannette Salabarria, health coach, Culinary Extra Clinic, Las Vegas NV
• Laura Duncan MD, MPH, physician, Dartmouth Health Connect, Hanover NH
• Ravi Kavasery MD, physician, Iora Health Boston
• Wendy Storch, nurse innovator, Iora Health Boston
This panel aims to highlight examples of how care coordination can be integrated in a range of health care delivery systems. Our panelists will offer insight on the following questions:
1. What does care coordination look like in your practice, and how does this support patient engagement? Are there particular patient populations or health areas where you think care coordination can have the most impact?
2. A lack of standardized guidelines for care coordination and care coordinators’ roles can make it difficult to implement this approach across delivery systems and practices—How have you managed this at Iora Health, and what advice do you have when it comes to creating and implementing future training, guidelines, and protocols for effective care coordination programs?
3. How can we best integrate care coordination models in the current fee-for-service payment system?
4. What role does health IT currently play in care coordination efforts, and what does the future hold for such innovations?
5. Little research has delved into the exact mechanisms of care coordination that produce better outcomes, particularly due to the tendency of such research to focus on clinical and utilization measures. What measures should be assessed in order to determine the overall effectiveness of care coordination efforts?
This panel is part of our US Communities Initiative, which is supported by the Agency for Healthcare Research and Quality (AHRQ), and aims to foster discussions between health care professionals on evidence-based practices, and translating these practices across disparate settings, to improve health care delivery in underserved populations in the US.
In an effort to understand the impact of our Expert Panels, please take our short (4 question) survey before the discussion begins: https://www.surveymonkey.com/s/GR83H3B
Looking forward to a rich discussion next week – please join the conversation and share your questions or comments for our panelists!