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4 - Care Coordination

Published online by Cambridge University Press:  14 July 2022

Mark Pauly
Affiliation:
University of Pennsylvania
Flaura Winston
Affiliation:
Children's Hospital of Philadelphia
Mary Naylor
Affiliation:
University of Pennsylvania School of Nursing
Kevin Volpp
Affiliation:
University of Pennsylvania Health System
Lawton Robert Burns
Affiliation:
University of Pennsylvania
Ralph Muller
Affiliation:
University of Pennsylvania Health System
David Asch
Affiliation:
University of Pennsylvania School of Medicine
Rachel Werner
Affiliation:
University of Pennsylvania School of Medicine
Bimal Desai
Affiliation:
University of Pennsylvania School of Medicine
Krisda Chaiyachati
Affiliation:
University of Pennsylvania School of Medicine
Benjamin Chartock
Affiliation:
Wharton School, University of Pennsylvania
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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.

Type
Chapter
Information
Seemed Like a Good Idea
Alchemy versus Evidence-Based Approaches to Healthcare Management Innovation
, pp. 64 - 131
Publisher: Cambridge University Press
Print publication year: 2022

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