Care coordination in kidney care facilitates the delivery of the appropriate healthcare services at the appropriate time and in the right setting. This, simply put, is the integration of healthcare delivered to a patient by multiple providers and specialists.
Care coordination is comprised of the following:
•Access to care/Evaluation
Successful care coordination includes the following elements:
1.The patients are given access to a variety of healthcare services and providers.
2.Efficient and effective care are put in place with satisfactory communication between providers.
3.The central focus is on the overall and complete health care needs of the patient.
4.The information is presented in a manner that is clear, concise and comprehensible by the patient.
Health care providers implement care coordination throughout the entire continuum of care; primary, acute, and long-term/post-acute care coordination. The participants involved in a patient's care include family caregivers, social workers, physicians, pharmacists, nurses, the patient, and other medical and support professionals. The number of people involved in a patient's care generally increases the more complex the patient's needs become.