Care Coordination
Care coordination between two or more providers is essential for good member care and continuous treatment. Every year, PerformCare surveys providers to monitor and improve the continuity and coordination of the care our members receive.
Providers are asked to provide PerformCare feedback on:
- How they or other providers are jointly working to coordinate member treatment
- Whether key member health information is shared with other providers
- How discharge plans are shared among providers
- If providers are reaching out to PerformCare when they are aware of barriers in treatment
Good communication with providers is the foundation of meeting our members' needs, especially during transitions. Effective collaboration positively impacts our members' recovery and is the key to keeping them stable and in their communities.
2024 Care Coordination Survey results
Coordination of behavioral health care goal:
- The total number of participants was 57, which is a decrease in participation from the previous year. In general, there was a clear decrease in ratings for many indicators compared with the previous year’s results.
- Discharge planning has improved over the years, but providers are not returning calls within two business days. Although this is probably not delaying treatment, it does hinder providers in obtaining needed clinical information. Please make every attempt to return calls in a timely manner.
- Various comments from the survey were shared with the Clinical department in an effort to improve communication between providers and Clinical Care Managers. Clinical Supervisors will share the comments with their teams.
- Mental health inpatient facilities reported that information at time of bed request is not always adequate. PerformCare encourages inpatient facilities to request the needed additional information before a decision is made. Unfortunately, sometimes complete information is not always available at time of precertification.
The 2024 results table (PDF) indicates the percentage of providers who scored the question "Majority of the time" (80% of the time or more).