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Coordination of Care for Persons with Disabilities Enrolled in Medicaid Managed Care: A Conceptual Framework to Guide the Development of Measures
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Shoshanna Sofaer,Dr.P.H., Barbara Kreling, and Martha Carmel, M.S.P.H.
Baruch College School of Public Affairs
This report was prepared under contract #HHS-100-99-0019 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the City University of New York. For additional information about this subject, you can visit the DALTCP home page at http://aspe.hhs.gov/office_specific/daltcp.cfm or contact the office at HHS/ASPE/DALTCP, Room 424E, H.H. Humphrey Building, 200 Independence Avenue, S.W., Washington, D.C. 20201. The e-mail address is: webmaster.DALTCP@hhs.gov. The Project Officer was Gavin Kennedy.
The opinions and views expressed in this report are those of the authors. They do not necessarily reflect the views of the Department of Health and Human Services, the contractor or any other funding organization.
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I. INTRODUCTION
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II. WHOSE CARE NEEDS TO BE COORDINATED?
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III. WHAT IS THE RELATIONSHIP OF CARE COORDINATION TO OTHER CONCEPTS?
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IV. WHAT LONG-TERM OUTCOMES DO WE HOPE TO ACHIEVE BY MEASURING AND IMPROVING CARE COORDINATION?
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V. WHAT INTERMEDIATE OUTCOMES DO WE HOPE TO ACHIEVE BY MEASURING AND IMPROVING CARE COORDINATION?
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VI. WHAT PROCESSES/ACTIVITIES ARE INCLUDED IN CARE COORDINATION?
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VII. WHAT ORGANIZATION/STRUCTURAL FACTORS APPEAR CRITICAL TO EFFECTIVE AND EFFICIENT CARE COORDINATION?
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VIII. WHAT STRUCTURES ARE NECESSARY TO SUPPORT THE CONSISTENT AND HIGH QUALITY IMPLEMENTATION OF CARE COORDINATION PROCESSES AND TO ACHIEVE INTERMEDIATE OUTCOMES?
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IX. CONCLUSIONS AND NEXT STEPS
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REFERENCES
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NOTES
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