Visit this page often for weekly blog posts that we think you’ll find interesting and helpful.

Topics may range from “Connecting a care team to effectively implement an individualized education plan” to “Elder-specific issues in care coordination.” We think unlocking potential and enhancing care outcomes includes keeping everyone informed of new and better ways to organize and coordinate care in patient-centric ways…

Breaking Down the Barriers of Care Coordination

For patients living with a chronic illness or those that require complex medical needs, providing a 360-degree approach to care can be challenging for the many different team members that make up a patient care team.


Exceptional collaboration and an increased understanding of roles will help ensure each patient’s needs are met, and ultimately, enhance the health outcomes of your patients. So who are the typical members of a patient’s care team?



Typical Patient Care Team Members


Patient care team members are often dynamic and can include a multitude of different providers. However, a care team will usually include at least of the few of the following important roles:

  • Clinician
  • Primary Care Physician
  • Nurse Practitioner
  • Social worker
  • Case Manager
  • Pharmacist
  • Physical or Occupational Therapist
  • In-Home CareGivers
  • Family Members


While there are a number of different roles on the team, the same goal is shared - enabling the best outcome for the patient. However, this can often be difficult as providers are operating in silos across different organizations and spread-out locations with no truly efficient and secure way to communicate with one another.


Thankfully, there are a number of strategies you can take to ensure that you are providing the best care for your patients:



Create a Bridge of Communication for all Care Team Members


One of the biggest challenges when caring for a patient with multiple needs is they tend to be treated by multiple professionals and have several parties with high touchpoints that require consistent and clear communication. Keeping real-time, accurate information flowing between every stakeholder for each and every patient will ensure the best care and outcomes possible.



Increasing Patient Engagement


Keeping patients engaged with an open line of communication at the beginning of their treatment is one key to enhanced outcomes. Doing so will help enable you to make informed decisions, evaluate the success of treatment plans, reduce costs, and improve patient satisfaction and experience.



Streamlining Communication


Patients living with multiple chronic conditions are often at risk due to a number of other factors, such as the inability to manage their own health needs or daily living requirements. As a result, care team members will need streamlined communication with both the multiple professionals that provide care to patients, as well as family members of the patient to keep them apprised to any abrupt changes in health or condition.



Understand Each Care Team Member’s Role


Patients with chronic or complex medical needs will inevitably have multiple touchpoints of care between the many different types of treatment they receive. Having a better grasp on the numerous individuals involved with each patient will improve the care journey for everyone involved, and ultimately improve health outcomes.


These tips are just a few of the ways that care coordination plays in enabling better outcomes for patients. Is your health system or physician group struggling to implement successful care coordination strategies? Have you started but are finding that your efforts are fruitless thus far? Don’t fret - we’re here to help.


Download your free copy of The Ultimate Guide to Care Coordination and learn all the basics, the benefits of care coordination, the increase in revenue your organization will see, and how it will help provide better care for your patients.


Thank you for sharing!