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Care coordination agreements: barriers, facilitators, and lessons learned.

Emily Carrier¹, Marisa K Dowling, Hoangmai H Pham

¹Center for Studying Health System Change, 1100 First Street NE, 12th Floor, Washington, DC 20002-4221, USA. ecarrier@hschange.org

The American Journal of Managed Care

|December 4, 2012

Summary

Physicians are developing care coordination agreements (CCAs) to improve patient care. Successful CCAs require stable communication and strong relationships, with policy changes supporting collaborative care.

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Area of Science:

Healthcare Management
Health Services Research
Medical Practice Management

Background:

Growing pressure to enhance healthcare quality and coordination.
Physicians seek streamlined relationships for shared patient care.
Development of care coordination agreements (CCAs) to define responsibilities.

Purpose of the Study:

Describe CCA formation.
Explore facilitators and barriers to effective CCAs.
Assess CCA replicability and policy implications for care coordination.

Main Methods:

Qualitative study design.
Involved primary care physicians and their partners (specialists, hospitals, community-based).
Semi-structured interviews with providers and thought leaders.

Main Results:

CCAs addressing referral and access processes were highly useful.
Agreements including comanagement of clinical conditions also proved beneficial.
Success factors included stable communication pathways (e.g., EHR) and strong relationships.

Conclusions:

Policy changes, such as reimbursement shifts and legal clarifications, can support CCA development.
Addressing market-specific barriers is crucial for effective care coordination.
CCAs offer a framework for improved inter-practitioner collaboration.