Care Coordination

Minimize the risk of fragmented care by preventing:

  • unnecessary hospitalization
  • duplicate tests and procedures
  • medical and medication errors
  • avoidable emergency department (ED) visits

In the Patient's Medical Home approach, care coordination is achieved through a set of activities that minimizes the risk of fragmentation by ensuring that all providers involved in a patient's care share important clinical information and have clear, shared expectations about their roles. To coordinate care, a PMH practice acts as the 'hub' of care, and develops relationships within the Health Neighbourhood by using co-developied protocols to achieve seamless referrals and transitions.

Tools and Resources

Various tools and resources related to care coordination can be found using the links below: