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How Important Is The Role Of A Care Coordinator In Modern Healthcare System?

How Important Is The Role Of A Care Coordinator In Modern Healthcare System?

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Even though the USA government has invested a lot of resources in health care services, often it is criticized for delivering fragmented care. The care coordinators play an important role in preventing this notion of fragmented healthcare by enabling patients to shift from one care area to another with ease. 

In modern-day healthcare, patients require someone to assist them in accessing the continuity of the care program. The very name of care coordinator refers to a trained nurse who is responsible for streamlining the care and treatments given to a patient suffering from chronic diseases such as heart ailments, cancer, diabetes, asthma, Parkinson’s disease, etc.

He plays a significant role in the care of an individual patient who is suffering from any chronic illness. His position is that of a supervisor towards administering interdisciplinary care by coordinating with the different specialists to give better attention to the patient. He is equally responsible for monitoring and evaluating the care being delivered.

Job Duties

There is a wide range of responsibilities associated with a care coordinator, so their responsibilities vary. It usually starts with a meeting with the patients and their family members to discuss the requirements and the services and help they want. From that, a care plan is formulated, and it demands the coordinator to be often in terms of other care departments to make sure the services are delivered in a standard manner. Some routine tasks they have to perform which includes-

•    Creating a care plan and reorganizing things as necessary when an emergency comes.

•    Paying a visit to the patients and examine the care they have received and put it in a document.

•    Communicating with the rest of the medical team to establish the interventions that have been made and also decide when any such further responses are required.

•    Staying updated with the latest developments in this field by way of various reading, participating in workshops and connecting with other professionals in this field to enhance the knowledge base. The care coordinators must possess some listening skills as it is imperative to listen to what the patient is trying to say, as a mark of showing respect to his rights and conforming to the laws and the standard of care authorized by the employer. He should also be responsible for the safety of the team as the supervision of the whole medical team is entrusted upon him.

•    Staying updated with the latest developments in this field by way of various reading, participating in workshops and connecting with other professionals in this field to enhance the knowledge base.

The care coordinators must possess some listening skills as it is imperative to listen to what the patient is trying to say, as a mark of showing respect to his rights and conforming to the laws and the standard of care authorized by the employer. He should also be responsible for the safety of the team as the supervision of the whole medical team is entrusted upon him.

Work Setting

In multiple settings they work, ranging from the emergency departments in the hospitals, ambulance care, and specialty units, at people’s homes and long term care facilities. They are needed any time by the patients to navigate the healthcare arena.

So, it could be an office based job emphasizing on administering care to the elderly patients or could be a hospital-based job responsible for ensuring the responsibility of the patients or could be in specialist’s clinics where the patients visit these professionals.

If to see from the perspective of a patient, the care coordinators are deeply valued by the patient because in case they are the first people to be contacted if there is a change in the requirement or if there is any irregularity with the service.

Many of the older adults who have some incapacity require highly complex care, and the care coordinators enable them to get rid of this burden by eliminating all the obstructions come in the way of proper care.

If there is a seamless service being delivered to the patient it will prevent the further deterioration of the health of the patients and will also minimize the overall healthcare cost and any possibility of additional intervention of care shortly.

This indirectly helps a patient to regain his independence to a certain extent where there is no longer any intervention required in the process of care.

Education Qualifications

There is no formal degree available for care coordinators in a nursing school. Usually, a bachelor degree in nursing is required to get an entry into this field. However, in certain instances, a degree in a related field such as healthcare administration will be sufficient to climb the ladder of success. Some employers may ask for a master’s degree in nursing. If anyone has considerable experience in working in a clinical area, then that person will also be hired.

However, the renowned American Academy of Ambulatory Care Nursing (AACN), a non-government organization that offers a course on various dimensions of care coordination.

•    Patient advocacy

•    Patient and family education and engagement

•    Coaching and counseling

•    Patient-centered care planning

•    Nursing process

•    Teamwork and collaboration

•    Population health management

•    Nursing informatics

The nature of care is different for different patients depending on their health condition. , and thus they aim to maximize the healthcare services based on these requirements.

Remuneration

In the USA, the salary of the care coordinators depends on the location and the employer. The reputed Glassdoor analysis has stated the average salary of a care coordinator as $76,710 per annum. It also says that the highest paying states in the USA for care coordinators are California, District of Columbia, Massachusetts, Hawaii, and Oregon.

Research says that there will be an increasing demand for nurses in the coming years in the USA and it is expected to rise by 15 percent by the year 2026. This is because the number of Baby Boomers is growing in the USA and this gives rise to the necessity of a proper healthcare system. Moreover, healthcare organizations are earnestly looking for ways to minimize the cost of healthcare, and this makes the care coordinators extremely valuable medical professionals in the most real sense.


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Patient Healthcare Coordinator Function and Framework in the USA

Patient Healthcare Coordinator Function and Framework in the USA

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A patient healthcare coordinator works in collaboration with other medical professionals, clinical nurse specialist (CNS), and the treatment team. They develop and improve treatment plans and strategies. The patient healthcare coordinator needs to be adept in prioritizing and coordinating treatment activities, as well as counseling patients and their related ones to gather data and information for assessments and complete them precisely.

healthcare coordinator

Patient healthcare coordinator works in a different structure from nonprofits and public health agencies to hospitals and assisted living facilities (especially for baby boomers) to manage regular treatments that are developed to enhance the physical state of the patient. The position of the care coordinator requires a high scale knowledge of integrated health conditions; viz, aging, nutrition or lung disease, and a strong background in health intervention which includes tuberculosis screening or smoking counseling.

The coordinator is also responsible for monitoring and evaluating the care delivered.

Frameworks of Care Coordinators-

A care coordinator’s daily activities can be quite different from one pace to another. Each section of work they do starts with a meeting with the patient, and other family members to discuss their needs, the services available to them and the help they desire. The treatment strategies are haggard up on this basis and the coordinator is then responsible for connecting with other care departments or agencies to make sure that the services are delivered appropriately.

Roles and Responsibilities of Care Coordinators-

So, what does the Care Coordinator do? It is completely based on the needs of the patients, and the population served, of course, but there are numbers of typical core duties. Here is a list of the core functions for a care coordinator:

  • Outreach and engagement
  • Ensures client support and (health) education
  • Ensuring communication between providers
  • Screening and Tracking outcomes
  • Facilitating referrals
  • Entering data and maintaining care registry
  • Conducting systematic caseload review
  • Medication reconciliation
  • Supporting client self-management
  • Shared care planning

The care coordinator is usually considered an important part of the medical team as the specialty mental health or substance which use disorder services team. Ultimately, a health care coordinator is responsible for care functions that are not usually “on the desk” of a case manager.

patient care coordinator

  • Conduct Program Administration

Health agencies that are working on enhancing health care ideally provide special programs and information. These plans target people who are at risk or facing certain health conditions. A coordinator needs to ensure regular program success through such directorial tasks as preparing work plans and budgets, supervising program staff, handling records for each participant, monitoring overall program progress and submitting formal reports. At times, a coordinator may work with other or staff to develop or refine procedures.

  • Deliver Health Care Programming

Along with maintaining records, developing treatment plans, supervising program staff, a care coordinator has to deliver core programming to the participant. For instance- they provide individual and group education to participants on lead poisoning, conduct health screenings to assess their status sections– coordinating access to medical care as important.  On the other hand, a coordinator may produce a bunch of information that addresses waterborne diseases.

  • Serve as Program Association

A care coordinator is a major part of the treatment program. A care coordinator works for HIV prevention program for substance abusers at a non-profit partner which include local needle exchange programs, drugs treatment centers, community hospitals, and the city or state department of health.

Role of Care Coordinators in Improving Care Coordination-

Almost half of all Americans live with at least one chronic medical conditions, where one-fourth adults consult at least four physicians and medical professionals. According to research, the typical primary care physicians coordinate with approximately 230 other physicians in 120 different practices. Patients with chronic conditions are at high risk of having badly coordinated care that results in repetition of lab tests, medical errors, and adverse health results. According to a survey, it is found that 11,000 adults having a great impact of a care coordinator, a participant find better access to primary care and strong health care provider-patient communication have on care coordination.

The researchers found that patients who have a care coordinator are more active towards their health and lifestyle than the patients without one-

  • Patients without a care coordinator were poorly organized and coordinated.
  • Their test results or medical records were not available at their schedule at their scheduled appointments.
  • They received conflicting information from various physicians without an appropriate source.
  • Unable to have a follow-up
  • Their physicians and specialists were not providing information about their care.

clinical care coordinator

Here a health care coordinator role is essential to manage gaps between the care coordination and the patients – a health care coordinator assist medical professionals ensuring to make them patient-centered medical homes. Here, patients would be able to get reliable and coordinated care.

There are various definitions of care coordinator, effort to achieve the same objective. Care coordination is just what the name shows: a method by which teams of health care experts and consultants work together to ensure that their patients’ health requirements are being completed and that the right care is being delivered in an appropriate manner, right time and the perfect physician.


To deliver compassionate and respectful service to the patients, families and clients with whom we are working. We will advocate for you in a professional manner to ensure your health goals are met. Guidance and assistance will be provided in a professional safe and affordable manner. At all times the highest level of privacy and confidentiality will be maintained.