Coordinated care: what does that really mean?

Ehrlich, Carolyn; Kendall, Elizabeth; Muenchberger, Heidi; Armstrong, Kylie

doi:10.1111/j.1365-2524.2009.00863.x

Cited by 49 publications

(52 citation statements)

References 33 publications

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“…Of the 26 studies, one [8] was graded as a 2+, 17 studies were graded as 3, (non-analytical studies), and eight were graded as 4 (expert opinion). In addition to the 26 empirical studies, three literature reviews received a rating of 3 [383940]. The remaining eight articles were not considered to have sufficient evidentiary support.…”

Section: Theory and Methodsmentioning

confidence: 99%

The Role of Care Coordinator for Children with Complex Care Needs: A Systematic Review

Hillis¹,

Brenner²,

Larkin

et al. 2016

International Journal of Integrated Care

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Introduction:This systematic review seeks to identify the intended components of the role of care coordinator for children with complex care needs and the factors that determine its composition in practice.Theory and methods:The initial search identified 1,157 articles, of which 37 met the inclusion criteria. They were quality assessed using the SIGN hierarchy of evidence structure.Results:Core components of the role include: coordination of care needs, planning and assessment, specialist support, emotional support, administration and logistics and continuing professional development. Influencing factors on the role include the external environment (political and socio-economic), the internal environment (organisational structure and funding protocols), the skills, qualifications and experience of the coordinator, the family circumstances and the nature of the interaction between the care coordinator and the family.Discussion:The lack of consistent terminology creates challenges and there is a need for greater consensus on this issue. Organisations and healthcare professionals need to recognise the extent to which contextual factors influence the role of a care coordinator in practice and plan accordingly. Despite evidence that suggests that the role is pivotal in ensuring that care needs are sustained, there remains great variability in the understanding of the role of a care coordinator for this population.Conclusions:As the provision of care increasingly moves closer to home there is a need for greater understanding of the nature and composition of the interaction between care coordinators and families to determine the extent to which appropriate services are being provided. Further work in this area should take into consideration any potential variance in service provision, for example any potential inequity arising due to geographic location. It is also imperative, where appropriate, to seek the views of children with complex care needs and their siblings about their experiences.

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Section: Theory and Methodsmentioning

confidence: 99%

The Role of Care Coordinator for Children with Complex Care Needs: A Systematic Review

Hillis¹,

Brenner²,

Larkin

et al. 2016

International Journal of Integrated Care

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“…Similarly, Ehrlich et al (2009) emphasise the importance of shared understanding of key concepts. The use of different terminology by practitioners to describe the care coordinator should not continue to obscure the importance of the role and associated activities.…”

Section: Discussionmentioning

confidence: 99%

Care coordination: translating policy into practice for older people

Seddon

Krayer

Robinson

et al. 2013

Quality Ageing Older Adults

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Purpose -The authors aim to present findings from their research on the implementation of Unified Assessment (UA) policy and the work of care coordinators who oversee the delivery of support to older people with complex needs. Design/methodology/approach -A mixed methods approach included staff interviews (n ¼ 95) and focus groups (n ¼ 3). Findings -The care coordinator role is controversial and the lack of common terminology across health and social care obscures its importance. It is seen as a social care responsibility. Limited ownership amongst healthcare professionals leads to tensions in practice. The challenges of breaking down silo thinking embedded in established professional practices are highlighted as are infrastructural and capacity deficits. Disparities between policy intentions and practice means that UA is failing to meet core objectives relating to the delivery of seamless support. Research limitations/implications -Further research is needed to develop and evaluate evidenceinformed interventions that test solutions to the problems faced in practice and support the delivery of more effective arrangements. Practical implications -Practice development may be supported by: guidelines that are more prescriptive and include a formal role definition; joint training to promote shared understanding of key concepts; investment in administrative and IT infrastructures; and more coordinated direction at strategic level. Originality/value -Over a decade has elapsed since the publication of UA Policy Guidance; however, there is limited published evidence on the effectiveness of UA policy and its translation into practice.

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“…(4)(5)(6) Gardiner et al (7) identified the specific needs of people with advanced COPD, highlighting their significant symptom burden, specific needs around education and access to specialist and palliative services as well as the significant issues affecting their families. (7) The basis of best practice care for chronic diseases such as COPD is systematic management (8,9) incorporating co-ordinated, multidisciplinary care (10) and the integration of care between the acute and primary care sectors where multiple providers may be involved. (11) However, there are few current models of care that reflect the key elements of best practice COPD care as summarised by Disler et al (12) and which integrate systematic chronic disease management with a palliative approach.…”

Section: What Are the Implications For Practitioners?mentioning

confidence: 99%

“…should approaches be generic or disease based) and what strategies would improve care co-ordination (see Table 1). (10) INSERT BOX 1 and TABLE 1 HERE One care co-ordination strategy for which there is increasing international evidence is the care co-ordinator role, with the UK (18,19) and US (13,20) increasingly using care coordinators to ensure best practice care for people with chronic and complex conditions. There is no consensus on the definition of a care co-ordinator,…”

Section: What Are the Implications For Practitioners?mentioning

confidence: 99%

Best-practice care for people with advanced chronic obstructive pulmonary disease: the potential role of a chronic obstructive pulmonary disease care co-ordinator

Burgess

Young

Crawford

et al. 2013

Aust. Health Review

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Green Open AccessAll journals published by CSIRO Publishing allow authors to deposit the Accepted version of their manuscript into an institutional repository or put it on a personal website, with no embargo.The Accepted version is the author-created, peer-reviewed, accepted manuscript. The Publisher's edited or typeset versions cannot be used. The institutional repository should be that of the institution employing the author at the time the work was conducted or PubMed Central. We ask that authors link to the published version on the CSIRO Publishing website, wherever possible. The importance of care co-ordination as a quality care indicator in chronic disease is growing, and the care co-ordinator role as a facilitator of quality care is increasingly being recognised in the UK and US. There is currently little information in the Australian context about how a COPD care co-ordinator role could be implemented, where it could be situated and the level of skill required. What does this paper add?This paper explores the specific issues in developing a COPD care co-ordinator role and provides a detailed model of care for the introduction of care coordinators into the Australian setting. What are the implications for practitioners?The proposed COPD care co-ordinator role has the potential to improve quality, continuing care for people with advanced COPD. It could facilitate the linkage of multidisciplinary teams across acute, primary and community care settings and promote timely and effective communication. The role would provide a clear point of contact for all practitioners and the opportunity for nurses to develop an advanced practice role in COPD care co-ordination, combining a palliative care approach with a chronic disease management framework.

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Coordinated care: what does that really mean?

Cited by 49 publications

References 33 publications

The Role of Care Coordinator for Children with Complex Care Needs: A Systematic Review

The Role of Care Coordinator for Children with Complex Care Needs: A Systematic Review

Care coordination: translating policy into practice for older people

Best-practice care for people with advanced chronic obstructive pulmonary disease: the potential role of a chronic obstructive pulmonary disease care co-ordinator

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