Coordinated care refers to any means by which a patient and all of his or her healthcare providers can access all of the patient's health information. Usually this involves a central data repository that can be accessed by any authorized provider.


Problems with uncoordinated care:

(1) duplication of laboratory and imaging studies

(2) unnecessary polypharmacy

(3) a fragmented medical record with incomplete knowledge of problems or treatments

(4) breakdown in communications between providers (consultant reports, hospital discharge summaries, etc).

(5) problems that are not recognized or acted upon

(6) other forms of waste


A patient is likely to benefit from coordinated care if:

(1) the patient has multiple comorbid conditions

(2) the patient is seeing multiple providers

(3) there is a history of problems associated with uncoordinated care


A patient is unlikely to benefit from coordinated care if:

(1) the patient has no serious medical problem

(2) the patient is seeing one physician

(3) there is something that the patient does not want known to other physicians

(4) security on the system is lax


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