Wanted: care coordination records

Jeff Rowe
Wanted: care coordination records

Some providers may think that with their new EHR they can take a break from incorporating the latest health IT into their practices.  But while EHRs may fit the bill when it comes to, among other things, documenting services provided in order to invoice appropriately for the visit, effective care delivery, says tech executive Ted Quinn, "is all about managing complexity."

And for that providers need what he calls a "Care Coordination Record."

"A Care Coordination Record,” Quinn explains, “bridges the gap between an in-person visit  . . . and everything else that needs to happen across the care continuum and in between visits. Care Coordination Records are distinct from EMR-based summary care records, continuity of care documents, and continuity of care records, which are temporary snapshots of patient data in the EMR."

According to Quinn, a true Care Coordination Record should include a list of everyone involved in a patient’s care, a comprehensive care plan approved by the patient, clearly defined tasks and roles that the plan involves and mechanisms for tracking care team communications with all team members, internal and external.

"All members of a care team,” Quinn suggests,  ". . . can use Care Coordination Records to engage in collaborative care planning, efficiently manage in-between visit care, and make safe, reliable handoffs across the care continuum."

As Quinn notes, he isn’t alone in his call for a focused effort on a patient-oriented, workflow IT solution.  Beth Israel’s John Halamka and Pittsburgh-based UPMC’s Rasu Shrestha have both recently suggested that, in Shrestha’s words, "The systems that we have today are not geared toward clinical efficiency."

Which is just one of the reasons why Quinn says the Care Coordination Record will be "the dominant HIT innovation in years to come."