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Continuity and Coordination of Care

Community Care routinely monitors the coordination of a member’s care and exchange of clinical information among practitioners.  We strongly encourage practitioners to coordinate care with other practitioners who are seeing the same member.  Coordination is important for member safety, to avoid duplicate assessments, procedures or testing and to improve treatment outcomes.

The 2007 goal for written evidence of exchange of information among behavioral health practitioners is 95% across counties.  In 2007, the rate across our counties averaged 83%, meaning that when it was appropriate to do so, providers exchanged information and documented that they did so an average of 83% of the time. 

For evidence of exchange of information from behavioral health clinicians to PCPs, the goal for 2007 for our counties is 80% across counties.  The 2007 rate across our counties averaged 54%. Exchange of information is more likely to occur among behavioral health practitioners than it is between behavioral health providers and PCPs in all of our counties. 
To encourage exchange of information, Community Care has done the following:

  • Requested Corrective Action Plans from providers when rates were below the goal.
  • Included articles in our provider newsletter regarding the importance of coordinating care.
  • Posted a sample exchange of information letter on our website.
  • Posted an article for members regarding the importance of coordination of care on our website

If you have found other techniques that are effective in promoting coordination of care among behavioral health practitioners and between behavioral health practitioners and PCPs, we would appreciate hearing from you.  Please call us at 1-888-251-2224 with your ideas and comments.

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