Redesigning the Health System / Increasing Coordinated Outpatient Care for Adults

Increasing Coordinated Outpatient Care – Adults2021-03-26T04:15:42+00:00

Coordinating care improves health outcomes while controlling costs1

This indicator tracks the percent of patients whose doctors’ office helps coordinate care with other providers and services. Moving the system toward integrated and coordinated care allows patients to receive care in the most appropriate setting, reduces duplication, and enhances quality.2

Coordinated Outpatient Care for Adults

In 2011 (baseline year), 67.0% of patients had a doctor’s office who helped coordinate care with other providers and services. The most recent data available show 62.9% (2018). We hope to reach a target of 94.0% or higher by 2022.

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More Data

Baseline

67.0%

Current Rate

62.9%

Target

94.0%

Indicator Highlights

RxSafe Marin: Marin County Prescription Drug Misuse and Abuse Initiative

This highly collaborative community-wide initiative sponsored by Marin County Health and Human Services coordinates diverse Action Teams including Law Enforcement; Prescribers and Pharmacists; Community-based Prevention; Treatment and Recovery; and, Data Collection and Monitoring. These public and private stakeholders have formed partnerships and created an environment where innovative strategies to combat the epidemic prescription drug problem in Marin can be tested and strengthened. Read more »

Approximately 5% of the population accounts for over half of health care costs in a typical year.1

Major contributing factors include multiple chronic conditions (complex needs) or end of life care.1

About 38% of Californians have one or more chronic conditions, and almost 25% experience limitations in their daily activities due to chronic conditions.1

A 2008 survey of US adults with chronic conditions found1:

19% found difficult to contact their providers during practice hours.

60% were unable to get the advice they needed when calling a help line.

After hours, 60% found it difficult to access the care without going to the emergency room.

22% of those seeking an appointment with a specialist faced wait times of a month or more.

Percentage of Adults Receiving Coordinated Outpatient Care, by Demographic Category

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Indicator Description: Percent of patients whose doctor’s office helps coordinate their care with other providers or services (Subcategory Adult HMO)

Indicator Source: Integrated Healthcare Association, California Pay for Performance Program, Measurement Year P4P Manual; National Committee for Quality Assurance; (2) California Healthcare Performance Information System (CHPI), Patient Assessment Survey (PAS)

Indicator Calculation Methodology: Composite is an average of the individual item proportions.  Individual items are “Top Box” scores – the proportion of sample members who selected the most positive option or a rating of 9-10 for each question.

Program URL Link: www.chpis.org/programs/pas.aspx

Reporting Cycle: Annually

Reporting Lag: One year

1. California Health and Human Services Agency. (2014, March 31). California State Health Care Innovation Plan. Retrieved November 15, 2015, from www.chhs.ca.gov: http://www.chhs.ca.gov/PRI/CalSIM%20State%20Health%20Care%20Innovation%20Plan_Final.pdf

2. Let’s Get Healthy California Task Force. (December 2012). Lets Get Healthy California Task Force Final Report. Let’s Get Healthy California Task Force.

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