Fragmented systems and communication breakdowns contribute to devastating consequences for patients

Care coordination aims to remedy this. At MacColl, we view care coordination as a system function, rather than an individual role or job description.

MacColl’s work helps clinical teams coordinate care throughout a system

We have developed models and toolkits for minimizing care fragmentation, and with projects like PCT-LEAP are gathering data from the best and the brightest clinical teams to share innovations in care coordination.

Related Resources

The Care Coordination Model

The Care Coordination Model examines care coordination within a patient-centered medical home and considers the major external providers and organizations with which it must interact.

Reducing Care Fragmentation

To help clinical teams lift the quality of patient transitions and referrals, The Commonwealth Fund supported MacColl via Reducing Care Fragmentation to author a complementary set of materials aimed towards patient-centered medical home transformation.

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