Domain 3: Team-Based Communication

When individuals see more than one provider or utilize services within multiple health and community systems, coordination and communication can be a challenge. Essential to effective Holistic Care Coordination (HCC) is establishing and following plans to assure that everyone on the care team is timely, efficient, respectful and culturally sensitive.

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  1. Teamwork
  2. Communicate
  3. Evaluate

Work as a team.

Work with the family.

  •  Family MUST inform all decisions.   The family is the center of the care team and decisions should align with the family's beliefs, strengths, values and aspirations.  (see Standard 3.2 for more information). 
                            
  • Relationships are key.  Care coordinators should develop and maintain positive relationships with patients and families (see Standard 3.7 for more information). 
                        
  • Flexible for family needs.  Families can change care coordinators at any time, so it's important to have a plan to transfer responsibilities as needed (see Standard 3.8 for more information). 
                             
  • Support the family.  Care coordination support should be accessible through all members of the care team (see Standard 3.9 for more information). 

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