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In this section you can find tools and resources to guide you through the actual implementation of the practice. 

 

CARE COORDINATION TOOL & RESOURCES

Description
A table of tools and resources for Care Coordination in supporting practices to coordinate care effectively developed by MacColl Institute for Healthcare Innovation (USA). 
It includes Care Coordination Process Measures, validated Instruments, patient referral checklist, using web Technology for Patient Referrals and link to publications.
For more information, visit:
Improving Chronic Care (Resources)

 

CARE MODEL IMPLEMENTATION TOOLS

Description
Materials related to each of six elements of the Chronic Care Model developed by MacColl Institute for Healthcare Innovation (USA): Community, Health Systems, Self-Management Support, Delivery System Design, Decision support, and Clinical Information Systems. 
Following each link, it can be found different resources (e.g. survey, guide, worksheet, white paper, presentation, link to other websites, patient material etc.) on the elements of the Model.
For more information, visit:
Improving Chronic Care (Model implementation tools)

 

FRAMTPTON, S. ET AL. (2008) PATIENT-CENTERED CARE IMPROVEMENT GUIDE. PICKER INSTITUTE

Description
A practical resource for organizations striving to become more patient-centered (in hospitals) with a Self-Assessment Tool to identify and prioritize opportunities for introducing patient-centered approaches most frequently cited barriers to implementation of patient-centered care, the foundation for successful implementation.
This Guide begins with a Self-Assessment Tool to identify and prioritize opportunities for introducing patient-centered approaches into the organization. Then explores patient-centered care in the framework of organizational culture change, differentiating between a quick fix mentality and the deep-rooted, long-term commitment necessary to truly change the culture of an organization, identify some of the most frequently cited barriers to implementation of patient-centered care. The guide also addresses the questions of patient-centered care in different context, the foundation for successful implementation, delving into the critical roles to be played by leadership, staff, medical staff, volunteers, and patients and families themselves, strategies for engaging different stakeholders toward a collective vision.  In the document it include features tangible practices in place at high-performing patient-centered hospitals nationwide, many of which are straightforward improvements that can be implemented promptly and at little cost to the organization.
The Guide concludes with guidance for individuals interested in advancing patient-centered care within their own organizations, sharing personal strategies for enhancing one-on-one interactions with patients, families and colleagues.
For more information, visit:
Patient-centered Care Improvement Guide

 

REDUCING CARE FRAGMENTATION. A TOOLKIT FOR COORDINATING CARE.

Description
A Toolkit Prepared by Group Health’s MacColl Institute for Healthcare Innovation. USA (2011) for coordinating care and designed for clinics, practices, and health systems focused on improving care coordination by transforming the way they manage patient referrals and transitions and reduce care fragmentation.
The toolkit contains practical strategies and clinical resources to help you implement specific practice changes designed to help make care coordination easier.
First, present stories to illustrate what care coordination means and why achieving it is so important and so challenging.
Next, the toolkit introduces a CARE COORDINATION MODEL based on key concepts that contribute to successful referrals and care transitions.
The toolkit then describes SIX KEY CHANGES that support the model and identifies resources to facilitate each change.
The toolkit also follows CASE STUDIES from diverse settings and a regionally integrated health system delivering comprehensive care.
In the final section, there is an index of the RECOMMENDED TOOLS AND RESOURCES, along with the tools themselves (or information on how to find them.)
For more information, visit:
Improving Chronic Care Toolkit

References: Reducing Care Fragmentation: A Toolkit for Coordinating Care. (Prepared by Group Health’s MacColl Institute for Healthcare Innovation, supported by The Commonwealth Fund), April 2011)