care coordination
care coordination
A generic term for the integration of health and social care services for a particular person.Components of care coordination
• Working with an individual and his/her carer(s) to ensure that a high-level, integrated and personalised care plan is implemented.
• Monitoring services to ensure they are delivered effectively on time and achieve their objectives.
• Facilitating communication between multiple agencies and professionals, and overseeing discussions/meetings as appropriate.
• Maintaining contact with the individual during hospital stay and arranging for discharge.
• Ensuring that reviews of care are undertaken.