Core Value, Community Connections: Care Coordination in the Medical Home. Patient Centered Primary Care Collaborative. Retrieved from http://www.pcpcc.net/files/carecoordination_pcpcc.pdf.

“This paper focuses on care coordination in the patient-centered medical home; however, to cultivate a coordinated patient-centered health care delivery system, the PCMH model must be connected to the medical neighborhood. Coordinating care across providers means connecting with specialty and subspecialty providers, many of whom are essential to the successful treatment of chronic illnesses.

The report features three core elements:

• Expert-authored articles on the definition, role and function of care coordination, as well as tools for implementation, and measurement and monitoring of its effectiveness
• Case examples
• Summary of survey responses from select practices.”