Care Coordination Flow Diagram
Map how providers, care managers, and services collaborate around one patient.
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7 connected components you can rename, recolor, and extend with AI.
A care coordination flow diagram shows how multiple providers and services work together to manage a patient's care, especially for those with chronic or complex conditions. It centers on the patient and connects the primary care provider, specialists, the care manager, pharmacy, behavioral health, and community or home health services, mapping referrals, shared care plans, and the communication paths between them.
Care managers, population health teams, and ACO leaders use these diagrams to close care gaps, prevent duplicate services, and smooth transitions between settings. They are central to value-based care programs, chronic care management, and post-discharge planning, where tight coordination is what drives better outcomes and lower total cost of care.
Great for
- Value-based care programs
- Chronic care management
- Post-discharge planning
- ACO care models
- Population health design
Frequently asked questions
What is care coordination?+
Care coordination is the deliberate organization of patient care activities and information sharing among all participants involved in a patient's care to achieve safer, more effective treatment.
What does a care coordination flow diagram show?+
It shows the patient at the center connected to providers, care managers, pharmacy, behavioral health, and community services, mapping referrals, shared plans, and communication paths.
Why is care coordination important in value-based care?+
Strong coordination reduces care gaps, prevents duplicate services, and improves transitions between settings, which lowers costs and improves outcomes in value-based and ACO programs.
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