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Care Continuity and Care Coordination

Care Continuity and Care Coordination Care Continuity and Costs for Chronic Disease Original Investigation Research Invited Commentary What Counts? Lena M. Chen, MD, MS; John Z. Ayanian, MD, MPP Improving care coordination has emerged as a key strategy of Figure. Conceptual Model of the Relationship between Care Continuity many payers and policymakers for enhancing the quality and and Care Coordination lowering the costs of health care in the United States. Account- able care organizations and Care Fragmentation bundled payments aim to Related article page 742 bridge the provider-based si- Care los that fragment care. Pa- Continuity tient-centered medical homes (PCMHs) seek to coordinate the care of patients with chronic disease. And recent changes to Medicare physician payments provide explicit incentives to en- hance transitional care, such as the transition from hospital Care Coordination to outpatient care. To determine if care coordination does in- deed have positive effects on quality or cost, the first step is to decide how it can be measured. In 2010, a National Quality Forum consensus report iden- tified 10 performance measures of care coordination, several focused on transitions in care. Others have identified conti- nuity of care as an important measure of care coordination. For example, the National Committee for http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Care Continuity and Care Coordination

Chen, Lena M.; Ayanian, John Z.
JAMA Internal Medicine , Volume 174 (5) – May 1, 2014
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References (7)

Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2013.14331
pmid
24638199
Publisher site
See Article on Publisher Site

Abstract

Care Continuity and Costs for Chronic Disease Original Investigation Research Invited Commentary What Counts? Lena M. Chen, MD, MS; John Z. Ayanian, MD, MPP Improving care coordination has emerged as a key strategy of Figure. Conceptual Model of the Relationship between Care Continuity many payers and policymakers for enhancing the quality and and Care Coordination lowering the costs of health care in the United States. Account- able care organizations and Care Fragmentation bundled payments aim to Related article page 742 bridge the provider-based si- Care los that fragment care. Pa- Continuity tient-centered medical homes (PCMHs) seek to coordinate the care of patients with chronic disease. And recent changes to Medicare physician payments provide explicit incentives to en- hance transitional care, such as the transition from hospital Care Coordination to outpatient care. To determine if care coordination does in- deed have positive effects on quality or cost, the first step is to decide how it can be measured. In 2010, a National Quality Forum consensus report iden- tified 10 performance measures of care coordination, several focused on transitions in care. Others have identified conti- nuity of care as an important measure of care coordination. For example, the National Committee for

Journal

JAMA Internal Medicine – American Medical Association

Published: May 1, 2014

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