Dr. Charles Cutler, former President of the ACP Regents Council, said he had often heard of frustrated specialists who felt that primary care physicians had not provided them with enough information about the patient who was transferred. Equipped with the “wish list” of information that would help either the practice of the referenced primary procurement or the sub-practice, the team can develop a checklist that the training staff can use as a guide. Specifically define who is in the recommendation team and create a policy and procedure document that the team can use (and refine over time). Define the data needed for each patient (basic demographics, insurance, medications, allergies, etc.) and for each transfer (depending on certain subspecialties or conditions). It is important to include protocols on how the loop can be closed at the end of the referral, by defining clear procedures for communication, accountability and data transmission (when an electronic health protocol is used). “Doctors need specific information to do their job effectively,” Dr. Molly Cooke, the outgoing president of the AKP, said in a statement. “The high-quality care coordination kit provides clear communication between primary care and sub-specialist practices, so that physicians can provide their patients with flawless, coordinated and quality care.” The High Care Coordination (HVCC) Toolkit provides resources to enable more effective and patient-centered communication between primary care and sub-physicians. The CPA`s HVCC (HVCC) toolkit provides resources to facilitate more effective and patient-centred communication between primary care and sub-physicians, including reference checklists, data relevant to certain conditions, and care coordination agreements. The toolkit was the work of the HVCC project, a cooperation between the ACP Council of Subcommittee Societies (CSS) and patient associations. Models for coordinating procurement agreements between primary care practices and specialized sub-cabinets, as well as between a primary care practice and a hospital team.
“It`s not a trivial problem, it`s something that drives both medical sub-specialists and the family doctor like me crazy,” Dr. Cutler said. “Because information doesn`t go and move on both sides.” The same goes for sub-practices: start with how transfers are received and go through the process until the time the patient is returned to the referral practice. Look for loopholes. Something as simple as not getting the right demographic information about the patient before the visit can create bricks in the coordination of care. Do patients understand why they`re here? It is important that physicians first fix problems in their own practices and include all their teams so that effective changes can be made. Ball, S., Montpetite, M., Kowalski, C., Gerdes, Z., Graham, G., Kirsh, S. and Lowery, J. (2017), “Care coordination agreements in the Veterans Healthcare Administration,” Journal of Integrated Care, Vol.
25 No. 3, 208-221. doi.org/10.1108/JICA-11-2016-0045 internists have always led care with sub-specialists, but as the transformation of the practice has been highlighted, the importance of coordination of care has also shifted.