Essay Care Coordination in the Health Care System

progressively more health care settings are installing systems and processes where specialists and primary care physicians coordinate in their communication and information share to further effectively treat patients. However, just as any progress or advancements bring about challenges, care coordination has also faced challenges. Three of the major obstacles it has encountered are Electronic Health Records or EHRs that are incompatible, poor communication between the primary care physicians and specialists

each healthcare provider, whether it be specialists, primary care physicians, or even emergency room doctors, have limited time with each patient. The patient may receive different recommendations from each professional in order to produce a better lifestyle for that patient however this care is not coordinated thus the patient becomes confused as to how to proceed. According to the Agency for Healthcare Research and Quality care coordination means things to different people; no consensus definition

need for effective care coordination to help reduce escalating health care costs. Nurses are an important member of the health care team and have gained recognition among other professionals as effective care coordinators. According to Popejoy (2015), the American Nurses Association has identified registered nurses as a critical link in improving outcomes for all patient populations in the continuum of care. Care coordination increases client satisfaction, improves population health, and reduces per

Coordination care model For a lot of people to “walk” in health care system can be difficulty. When patient needs help sometimes has to see primary care physician, some specialists, nurses, even though sometimes patient have to contact insurance or billing department of doctor offices. If these health care providers do not contact with each other that can be dangerous for the patient. Very often that leads in low value of care, medication errors or preventable visit in emergency

patient are all examples of the difference a care coordinator can make in providing high quality care for disabled patients. Care coordinators have the ability to improve patient care and reduce costs for patients and

Care across various health care settings and with multiple providers is often fragmented and managed in a silo. Patients with multiple illnesses are more challenging to the health care system. These challenges cross multiple health care settings and make the patient more vulnerable to experiencing serious health problems that can result from poor transition and coordination of care. Coordination interventions can include transitional care, patient self-management and coordinated care. Incorporation

Case Management generally refers to the ongoing coordination of needed services via a designated professional or team. In the past decade, Case Management (CM) earned a variety of meanings and various models of CM have emerged. Considering systems reform and managed care, CM is a position in transition. Within that transition, the overlap of service coordination, case management, and care management functions has begun to play a critical role in the workforce and the community at large. However,

Health Care is an industry that constantly changes. For that reason, the revenue cycle process in health facilities constantly changes. As a result, many challenges in Revenue Cycle Management arise. Revenue Cycle Management (RCM) is defined as the process of "all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue” (Amatayakul, 2006, p.46). RCM is a complex process that requires tools and properly trained staff. Some of

best healthcare system when compared to the other countries, on how much it is spending on the cost of health care, which is more than 17 percent of its economy, but underperforms when it comes to measurable outcomes. Quality of care that the US healthcare is deficient is on patient safety, health prevention, coordination of care, positive patient outcomes and access to care (Obama, 2016). The practice change that I will cover in my paper is the nursing’s role in Accountable Care Organization (ACO)

Affordable Care Act has created many opportunities for states to design and test new models of care delivery and payment that improve health outcomes, improve patients’ experience, and reduce health care spending ("The Promise of Care Coordination: Transforming Health Care Delivery", 2013). These new models include accountable care organizations (ACOs) and Medicaid health homes. A main component of these new models is care coordination programs, which allow providers and other members of the health care