Care Coordination & Integration

In order to have an effective healthcare system that is patient centered, care coordination is inherent. This involves significant communication between health professionals, to ensure that quality care is consistently provided to patients. In addition, as care teams strive to make primary care the center for all of a patient’s general needs, further integration may be necessary. With primary care serving as the “hub” for most patients, incorporating facets of other fields is not only plausible but an obvious next step for better coordination. 


The PCC has consistently acknowledged the need for an increase in care coordination, and further integration of other fields, such as oral health and behavioral health. The PCC has shown a commitment to further primary care integration by creating the Primary Care and Behavioral Health Integration Workgroup and participating in grants centered around increasing the visibility of oral health in the primary care space. 


United Healthgroup | June 2017
This resource discusses how delivering primary care and preventative services in-home can be an effective way to improve access and quality. It gives example of practical approaches to practice transformation that increase access.
The Center for Consumer Engagement in Health | May 2018
The Center for Consumer Engagement in Health Innovation works to uplift voices of the underserved to make health systems and research more equitable in communities. They work toward practical solutions for community-minded care and focus on serving vulnerable populations.
Patient-Centered Primary Care Collaborative | July 2017
AHRQ | July 2016
Healthcare Informatics | June 2016
This roadmap describes a trend towards population health management and value-based payment models through the patient-centered medical home (PCMH). It details the importance of comprehensive primary care that includes behavioral health, social workers, and community services. This resource acts as a guide to help practices transition to value-based care.

Events & Media

September 10, 2020 | Mountain Plains Mental Health Technology Transfer Center
August 26, 2020 | Mountain Plains Mental Health Technology Transfer Center
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