Care Coordination revolves around a comprehensive patient-centered care plan.
Regardless of which Medicare programs you participate in, the one commonality is a patient-centered care plan. We believe the care plan should be consist of goals that are important to both the patient, care team and provider.
Keeping the patient motivated and engaged is critical. Each month, the care team should focus on finding areas of improvement.
If this is done correctly, the patient should experience improved health outcomes while the organization sees improved quality scores. It's truly a win-win scenario.