Table 3.

Examples of Care Management Activities Related to Relational Coordination Dimensions

	Frontline	Clinical Leadership/Executive
Shared Knowledge of Team Members’ Tasks	No or infrequent mention	No or infrequent mention
Shared Goals	No or infrequent mention	Care process redesign activities undergone with hospital partners to jointly improve care processes and control costs New collaborations with payer partners in case management in order to improve care Development of collaborative relationships with sub-specialist physician groups in the community Medical groups acting as a single system of care, including shared standards
Mutual Respect	No or infrequent mention	No or infrequent mention
Frequency of Communication	Increased communication with patients to improve post-discharge processes and outcomes In-person nurse visits to patient homes to review medications and discharge plans Use of electronic patient portals to educate and alert patients to overdue health services	Regular meetings with payer partners to share progress and identify issues with data sharing or develop clinical benchmarks Meetings through newly formed accountable care organization infrastructure including workgroups, committees, disease collaboratives Interaction between central accountable care organization team and physician offices in order to collaborate on quality improvement
Accuracy of Communication	No or infrequent mention	No or infrequent mention
Timeliness of Communication	No or infrequent mention	Information from payers and hospitals, critical to form a comprehensive picture of patient care and improve care coordination
Problem Solving Communication	Routine meetings within cross-functional care team to discuss individual care plans for high-risk patients Increased interactions between physicians and case managers to help high-risk patients manage their care Direct patient outreach to identify barriers to a healthier lifestyle	Identification of high-utilizing patients and coordination of intervention activities with payer partner