Frontiers of Health Services Management - Summer 2014 - (Page 28)

approach organized around the following components: * Primary care providers: the center point of every patient's care experience and the foundation of each aco network * ACO clinical care coordinators: centralized and practice-embedded resources coordinating care for patients across the continuum * Technology and processes: information technology-enabled processes focused on understanding a complete patient experience to enable connections with providers and care coordinators our care coordination model (exhibit 3) provides a high-level overview of our organization's approach to coordinated care. When integrated effectively, these Exhibit 3 components create a foundation to support the patient's navigation of diverse medical and social services needed to receive appropriate and meaningful care. the aco clinical care coordinators tap their knowledge of the healthcare system, communication skills, clinical training, and patient advocacy skills to build trustworthy relationships with patients and primary care providers. the aco has successfully integrated principles derived from the patient-centered medical home model into the acute care setting through clinical case management. in support of the aco clinical care coordinators, we have leveraged information technology resources currently available in our system to identify gaps in care and population health needs. During the development of the acos, we assessed available population health management resources University Hospitals Health System ACO Care Coordination Chart Source: 2012 University Hospitals Health System, Inc. Reprinted with permission. All rights reserved. 2 8 * f ro ntier s o f h ea lt h s e rvic e s m a na g e me nt 30 :4

Table of Contents for the Digital Edition of Frontiers of Health Services Management - Summer 2014

Table of Contents

Frontiers of Health Services Management - Summer 2014