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Coordinated Care

Addressing the various needs of patients requires care coordination. Within an organization and along the value chain, patient care coordination can bring it all together. How can we help patients through teamwork and collaboration?

UCLA Health CKD Risk Stratification and Management

Care Redesign

Proactively Catching the Declining Patient

A coordinated effort by UCLA leaders to identify a high-cost population with chronic kidney disease and to modify care processes and personnel has led to improved health and reduced utilization.

Time Spent Engaging Directly with 16 Camden RESET Participants or Coordinating Care on Their Behalf

Leadership

“Putting All the Pieces Back”: Lessons from a Health Care–Led Jail Reentry Pilot

The Camden Coalition’s jail-based reentry program illuminated the necessity and challenges of engaging people with complex health and social needs and helping to transform the systems that serve them.

Diagram Illustrating the COPD Care Pathway at Allegheny General Hospital

Care Redesign

End-to-End Care for COPD Patients that Improves Outcomes and Lowers Costs

Allegheny General Hospital created a comprehensive solution for patients with chronic obstructive pulmonary disease (COPD) that led to improved clinical outcomes, reduced hospital admissions and readmissions, and a resultant decrease in the total cost of care.

End of Life EOL Palliative Care in the ED for Patients with Advanced Cancer - Process Map - MD Anderson Cancer Center

Care Redesign

Patient-Centered Care at the End of Life in the ED

How MD Anderson Cancer Center is improving end-of-life care in an unlikely place: the emergency department.

McKee01_pullquote - the need for coordinated care IPUs for Parkinson's disease

Care Redesign

Creating “One-Stop Shop” Care for Parkinson’s

Integrated Practice Units (IPUs) can revolutionize the care of specialty disease conditions, and Parkinson’s disease is a good place to start.

Kimberly Dennis and David Newton head shots - SunCloud Mental Health Services

Care Redesign

Addressing the Lack of Continuity of Care in Mental Health Services

Co-founders of an integrative outpatient treatment center for mental health and addiction discuss the problematic lack of continuity of care between inpatient and outpatient and physical and mental health services.

Opelka01_pullquote - ACS IPU team-based surgical care bundles playbook

New Marketplace

Developing a Playbook for IPU-based Surgical Care and New Payment Models

The complexity associated with most surgery lends itself to the integrated practice unit structure, with its focus on the care team and value-based payment.

Most Health Care Organizations Have Palliative or End-of-Life Care Programs

Care Redesign

Survey Snapshot: Challenging the Resistance to “Palliative”

NEJM Catalyst Insights Council members agree that palliative care is gaining traction, but one of many barriers is getting providers over their resistance to the word “palliative.”

Payer-Provider Partnerships Produce Better Quality Outcomes 3 - community health plan - physician partnership

New Marketplace

New Research Shows How Payer-Provider Partnerships Can Accelerate Adoption of Evidence-Based Care

Five best practices that are replicable and scalable are facilitating improved clinical and financial outcomes today.

Many Patients Who Would Benefit from Palliative - End-of-Life Care Do Not Receive It

Care Redesign

Care Redesign Survey: The Power of Palliative Care

Our NEJM Catalyst Insights Council survey on palliative care reveals an interesting dichotomy: While the great majority of organizations have a palliative or end-of-life care program, 60% of patients who would benefit from such services don’t receive them.

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