This is a horizontal bar chart with the numbers 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20 across the top representing the frequency of care coordination domains measured by EHR-based measures. The following care coordination domains are listed vertically. The numbers following each domain represent its frequency.
Establish Accountability or Negotiate Responsibility—1
Communicate—19
Facilitate Transitions—12
Assess Needs and Goals—0
Create a Proactive Plan of Care—1
Monitor, Follow Up & Respond to Change—6
Support Self-Management Goals—2
Link to Community Resources—1
Align Resources with Patient and Population Needs--0
Teamwork Focused on Coordination---0
Health Care Home---0
Care Management--0
Medication Management--2
Health IT-Enabled Coordination--9
