Care Coordination Management
Coordination of care across providers, settings, and time including referrals, case management, transitions of care, discharge planning, utilisation management, and social-determinant linkage.
Care Coordination Management (BC-2820) is a level-1 business capability in the Healthcare Providers model. The catalog holds 0 API surface(s) from 0 provider(s) that can perform some part of it. Reach is the vendor surface that lands on this capability — it is not a claim about what any particular organisation has deployed.
Authorities this capability cites
Cited by the capability model itself. These frameworks are referenced, never redistributed, and citing one does not imply its owner endorses this listing.
- https://www.cms.gov/medicare/quality/value-based-programs
- https://www.ncqa.org/programs/health-care-providers-practices/patient-centered-medical-home-pcmh/
- https://www.acmaweb.org/
- https://www.ihi.org/Topics/Transitions-of-Care
Sub-capabilities
Referral Management BC-2820.10
End-to-end management of patient referrals from order capture through specialist match, tracking, and closure.
Case & Care Management BC-2820.20
Identification, planning, and execution of case-management interventions for high-risk and complex patients.
Discharge Planning BC-2820.30
Planning for safe discharge from inpatient care including needs assessment, post-acute placement, and patient education.
Transitions of Care BC-2820.40
Coordination of patient transitions between providers and settings to ensure continuity, safety, and outcome accountability.
Utilisation Management BC-2820.50
Review and oversight of admissions, continued stays, and length of stay against medical necessity and utilisation criteria.
Social Determinants & Community Linkage BC-2820.60
Identification of social determinants of health and linkage to community resources to support clinical outcomes.
Providers that reach this capability
No provider in the catalog currently publishes an API surface that reaches this capability. That is a real answer, not a gap in the page: much of what an enterprise does runs on internal systems that publish no API at all.