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High Value Care Coordination Project
High Value Care requires patient-centered care coordination between primary care and subspecialty/specialty practices. ACP's High Value Care Coordination Toolkit, developed under the direction of ACP’s Council of Subspecialty Societies and informed by the ACP policy paper, The Patient-Centered Medical Home Neighbor: The Interface of the Patient-Centered Medical Home with Specialty/Subspecialty Practices include the following:
- A checklist of information to include in a generic referral to a subspecialist/specialist practice.
- A checklist of information to include in a subspecialist/specialist’s response after responding to a referral request.
- Pertinent data sets reflecting specific information, in addition to that found on the generic referral request, to include in a referral for a number of specific common conditions to help ensure an effective and high value engagement. These were developed by the participating CSS societies.
- Model care coordination agreement templates between primary care and subspecialty/specialty practices, and between primary care and hospitalist practices.
- An outline of recommendations to physicians on preparing a patient for a referral in a patient-centered manner.
CSS organizations that participated in this project were:
- Alliance of Academic Internal Medicine
- American Academy of Allergy, Asthma and Immunology
- American Academy of Neurology
- American Association for the Study of Liver Diseases
- American Board of Internal Medicine
- American College of Allergy, Asthma and Immunology
- American College of Cardiology
- American College of Physicians
- American College of Rheumatologyy
- American Gastroenterological Association
- American Geriatrics Society
- American Society of Clinical Oncology
- American Society of Hematology
- American Society of Nephrology
- The Endocrine Society
- Infectious Disease Society of America
- Institute for Patient- and Family-Centered Care
- National Partnership for Woman and Families
- Renal Physicians Association
- Society of Critical Care Medicine
- Society of General Internal Medicine
- Society of Hospital Medicine
Assistance in the project was also received from representatives of the National Partnership for Woman and Families, and the Institute for Patient- and Family-Centered Care.