Model / Framework
What Causes Care Coordination Problems? A Case for Microanalysis
Authors:
Wayne Zachary ,
Starship Health Technologies, LLC
Russell Charles Maulitz,
Starship Health Technologies, LLC
Drew A. Zachary
Starship Health Technologies, LLC
Abstract
Introduction: Care coordination (CC) is an important fulcrum for pursuing a range of health care goals. Current research and policy analyses have focused on aggregated data rather than on understanding what happens within individual cases. At the case level, CC emerges as a complex network of communications among providers over time, crossing and recrossing many organizational boundaries. Micro-level analysis is needed to understand where and how CC fails, as well as to identify best practices and root causes of problems.
Coordination Process Diagramming: Coordination Process Diagramming (CPD) is a new framework for representing and analyzing CC arcs at the micro level, separating an arc into its participants and roles, communication structure, organizational structures, and transitions of care, all on a common time line.
Conclusion: Comparative CPD analysis across a sample of CC arcs identifies common CC problems and potential root causes, showing the potential value of the framework. The analyses also suggest intervention strategies that could be applied to attack the root causes of CC problems, including organizational changes, education and training, and additional health information technology development.
How to Cite:
Zachary W, Maulitz RC, Zachary DA. What Causes Care Coordination Problems? A Case for Microanalysis. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2016;4(3):3. DOI: http://doi.org/10.13063/2327-9214.1230
Published on
01 Aug 2016.
Peer Reviewed
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