One of the fundamental building blocks of the patient-centered medical home (PCMH) is the importance of keeping a close eye on care coordination as patients move between the primary care setting and the hospital, emergency department, or specialist’s office.
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patient-centered medical home and care coordination
However, the patient-centered medical home framework does offer some guidance for healthcare organizations seeking strategies that will smooth the process of care coordination and reduce the negative impact of choke points during transitions of care. Health IT infrastructure plays a key role in making sure that these primary care providers are aware of their patients’ activities when outside their purview, but providers may not be using these tools to their greatest advantage just yet.