Which option correctly lists the six steps of the care coordination process model?

Which option correctly lists the six steps of the care coordination process model?

• A. Assess patient needs; Plan an individualized course of care; Implement the plan; Coordinate services and handoffs; Monitor progress and outcomes; Adjust the plan as needed.
• B. Assess patient needs; Plan care; Schedule appointments; Follow up; Evaluate outcomes; End plan.
• C. Assess issues; Develop policies; Implement training; Coordinate teams; Review outcomes; Close case.
• D. Collect data; Analyze costs; Build dashboards; Communicate results.

Answer: (D)

The six steps described reflect a patient-centered, iterative flow that guides care across settings. Start by assessing the patient’s needs to understand medical, social, and functional factors that affect care. Then plan an individualized course of care, setting clear goals and outlining the resources and actions required. Implement the plan by putting those actions into motion. Coordinate services and handoffs to ensure smooth communication and transitions among providers, teams, and settings. Monitor progress and outcomes to track whether goals are being met and to catch any new issues early. Finally, adjust the plan as needed in response to progress, new information, or changing patient preferences. Other options pull in activities that are more administrative, policy-focused, or analytics-driven rather than outlining the practical, ongoing flow of coordinating care for a patient.

The six steps described reflect a patient-centered, iterative flow that guides care across settings. Start by assessing the patient’s needs to understand medical, social, and functional factors that affect care. Then plan an individualized course of care, setting clear goals and outlining the resources and actions required. Implement the plan by putting those actions into motion. Coordinate services and handoffs to ensure smooth communication and transitions among providers, teams, and settings. Monitor progress and outcomes to track whether goals are being met and to catch any new issues early. Finally, adjust the plan as needed in response to progress, new information, or changing patient preferences.

Other options pull in activities that are more administrative, policy-focused, or analytics-driven rather than outlining the practical, ongoing flow of coordinating care for a patient.