Zachary Wayne, Maulitz Russell Charles, Zachary Drew A
Starship Health Technologies, LLC.
EGEMS (Wash DC). 2016 Aug 1;4(3):1230. doi: 10.13063/2327-9214.1230. eCollection 2016.
Care coordination (CC) is an important fulcrum for pursuing a range of health care goals. Current research and policy analyses have focused on aggregated data rather than on understanding what happens within individual cases. At the case level, CC emerges as a complex network of communications among providers over time, crossing and recrossing many organizational boundaries. Micro-level analysis is needed to understand where and how CC fails, as well as to identify best practices and root causes of problems.
Coordination Process Diagramming (CPD) is a new framework for representing and analyzing CC arcs at the micro level, separating an arc into its participants and roles, communication structure, organizational structures, and transitions of care, all on a common time line.
Comparative CPD analysis across a sample of CC arcs identifies common CC problems and potential root causes, showing the potential value of the framework. The analyses also suggest intervention strategies that could be applied to attack the root causes of CC problems, including organizational changes, education and training, and additional health information technology development.
护理协调（CC）是实现一系列医疗保健目标的重要支点。当前的研究和政策分析侧重于汇总数据，而非理解个体病例中发生的情况。在病例层面，护理协调随着时间的推移呈现为提供者之间复杂的沟通网络，跨越许多组织边界。需要进行微观层面的分析，以了解护理协调在何处以及如何失败，同时识别最佳实践和问题的根本原因。
协调过程绘图（CPD）是一种用于在微观层面表示和分析护理协调流程的新框架，它将流程分解为参与者及其角色、沟通结构、组织结构以及护理过渡，所有这些都在一条共同的时间线上呈现。
通过对一系列护理协调流程样本进行比较CPD分析，识别出常见的护理协调问题和潜在的根本原因，显示了该框架的潜在价值。分析还提出了可用于解决护理协调问题根本原因的干预策略，包括组织变革、教育与培训以及额外的健康信息技术开发。
