“…2 In fact, use of an IDT to coordinate care for complex patients is one key factor noted to be associated with better patient outcomes. 3 Characteristics of successful HBPC programs include scheduled interdisciplinary meetings with the patient care team that could include physicians, advanced practice practitioners such as nurse practitioners, physician assistants, social workers, dieticians, pharmacists, physical and occupational therapists, behavioral health specialists, and nurses to discuss the plan of care for patients served by the program. 1 A systematic review with an expert panel identified that the best ways to facilitate communication among the team members are shared electronic medical records, IDT meetings, team-based standardized patient assessments, and available secure e-messaging.…”