Managing Complex Care: Improve Effectiveness through Clinical Integration, Population Health Best Practices

Posted by Continuum on Feb 9, 2016 11:00:00 AM

Many primary care physicians (PCPs) struggle to provide high-quality care for patients with complex needs. 

A recent international survey* confirms this challenge: Nearly 25 percent of U.S. PCPs say they are not well-prepared to care for people with multiple chronic illnesses. 

Hurdles include lack of care coordination and gaps in access, according to the Commonwealth Fund study. Its authors call for strengthening the nation’s primary care infrastructure, in part by improving communication among providers and increasing access to care.

Two overarching approaches can help doctors achieve these goals, while also reducing the disproportionate costs of complex care: participation in a clinically integrated network (CIN), and use of population health best practices.

To learn more about the Five Pop Health Critical Elements, download our checklist now.  

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Topics: Triple Aim, care continuum, Healthcare, gaps in care, population health tools, CIN

The Benefits of Centralized Coordinated Care

Posted by Continuum on Oct 17, 2014 9:01:00 AM


nurse-care-coordinator-on-phone-with-patientCare Coordination Key Component of Triple Aim Success

Healthcare providers have increasingly implemented programs aimed at coordinating patient care across a fragmented healthcare continuum. Although these programs vary widely in structure and style, the primary goals of care coordination programs—to improve disease outcomes while containing overall healthcare costs—tend to be consistent across organizations.1

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Topics: Coordinated Care, population health management, Triple Aim, care coordinators

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