Book contents
- Seemed Like a Good Idea
- Seemed Like a Good Idea
- Copyright page
- Contents
- Figures
- Contributors
- Preface
- 1 Baseline Observations
- 2 Evidence and Growth in Aggregate Spending and Changes in Health Outcomes
- 3 The Benchmark Decision Model, the Value of Evidence, and Alternative Decision Processes
- 4 Care Coordination
- 5 Evidence-Based Programs to Improve Transitional Care of Older Adults
- 6 Vertical Integration of Physicians and Hospitals
- 7 Evidence on Provider Payment and Medical Care Management
- 8 Evidence on Ways to Bring about Effective Consumer and Patient Engagement
- 9 The Unmet and Evolving Need for Evidence-Based Telehealth
- 10 Evidence and the Management of Health Care for Disadvantaged Populations
- 11 Driving Innovation in Health Care
- 12 Concluding Chapter
- Index
4 - Care Coordination
Published online by Cambridge University Press: 14 July 2022
- Seemed Like a Good Idea
- Seemed Like a Good Idea
- Copyright page
- Contents
- Figures
- Contributors
- Preface
- 1 Baseline Observations
- 2 Evidence and Growth in Aggregate Spending and Changes in Health Outcomes
- 3 The Benchmark Decision Model, the Value of Evidence, and Alternative Decision Processes
- 4 Care Coordination
- 5 Evidence-Based Programs to Improve Transitional Care of Older Adults
- 6 Vertical Integration of Physicians and Hospitals
- 7 Evidence on Provider Payment and Medical Care Management
- 8 Evidence on Ways to Bring about Effective Consumer and Patient Engagement
- 9 The Unmet and Evolving Need for Evidence-Based Telehealth
- 10 Evidence and the Management of Health Care for Disadvantaged Populations
- 11 Driving Innovation in Health Care
- 12 Concluding Chapter
- Index
Summary
“Fragmentation” – the breakdown in communication among many providers treating a single patient, such that multiple decision makers make a set of health care decisions that would be made better through unified decision-making1 – is frequently cited as a major problem in the US health care system.2 It plagues both the payment system (which has multiple payers) as well as the delivery system (which has siloed providers). This chapter focuses on the latter problem of fragmentation among care providers and calls to correct it via “care coordination.” The problem is not just provider fragmentation, however. It is also the lack of clarity regarding what care coordination (the proposed solution) means, what benefits it confers, and how to do it.
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- Seemed Like a Good IdeaAlchemy versus Evidence-Based Approaches to Healthcare Management Innovation, pp. 64 - 131Publisher: Cambridge University PressPrint publication year: 2022
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