Care coordination is identified by the Institute of Medicine as a key strategy that has the potential to improve the effectiveness, safety, and efficiency of the American health care system.

 

In a residential care setting, such as in a WELShift continuing care retirement community, care coordination involves deliberately organizing all residents’ care activities and sharing information among all of the participants concerned with his/her care to achieve safer and more effective care.

  • Care coordination in a WELShift community will meet residents’ needs and preferences by delivering high-quality, high-value health care. This means that their needs and preferences are known and communicated at the right time to the right people, and that this information is used to guide the delivery of safe, appropriate, and effective care.
  • WELShift communities will proactively address the comprehensive needs of its residents, not simply respond to their medical crises. Residents will regularly interact with and be observed by their on-site care team in an effort to avoid, delay or manage existing chronic conditions and diseases through appropriate and timely interventions and adherence to medical and other advice.
  • WELShift communities would lower the total cost of care for seniors by providing on-site care coordination and disease management services to avoid hospitalizations. An interdisciplinary health care team, led by salaried primary care physicians, would integrate comprehensive primary and post-acute health care services and coordinate acute and specialist care.

 

The unique aspect of a WELShift community is that the resident care coordination is the central premise and is inherent in its design and operation. The care coordination is not layered on top or outside the main body of the care delivery network.