A competent leader in managing care coordination must be able to apply a legal background regarding the health system and the legislative framework for health care coordination practices. Obedience of laws and norms guarantees the safety of patients’ lives, protects patient rights, and deters legal risks confronting healthcare institutions. One of the main legal mechanisms for maintaining healthcare information management confidentiality is the Health Insurance Portability and Accountability Act referred to as HIPAA. Applicants of care coordination leadership in their respective fields should possess a complete comprehension of Health Insurance Portability and Accountability (HIPAA) regulations to cover medical privacy and security standards (Hoffman and Podgurski, 2019). They should shortly ponder that the care coordination processes and the information sharing practices be done by the Health Insurance Portability and Accountability (HIPAA) privacy risks like violation of patient confidentiality. Care coordination frequently is an activity that relates to a patient’s enrollment in Medicare and Medicaid programs. Candidates could not attain the requirements of the work without understanding the rules and regulations that guide the activities of the federal health care programs. This includes but is not limited to the program requirements, coverage eligibility, and reimbursement policies (Centers for Medicare & Medicaid Services, n.d.). To attain this, they shall be responsible for implementing coordination of care in compliance with the Medicare and Medicaid mandate to allow access to basic healthcare services by the designated beneficiaries. These could be about the enactment of provisions that for instance, concern licensing conditions, scope of practices, health fraud and abuse, or quality reporting requirements (American Health Lawyers Association, 2019). Candidates should be flexible and adaptable to legal changes and staff should be well versed in legislation to improve the coordination of care and avoid legal penalties while maintaining regulatory compliance.
When assessing a candidate’s understanding of interprofessional teams and stakeholders in care coordination, there are several important factors to take into account. According to Adams et al. (2020) and Hatfield et al. (2019), the ideal applicant would exhibit a thorough awareness of the many parties engaged in healthcare, such as patients, families, healthcare providers, insurers, community groups, and legislators. They ought to be able to recognize the responsibilities, goals, and tasks of every stakeholder group as well as how those groups interact with one another during the care coordination process. A proficient care coordinator must to have robust interpersonal and communication abilities to efficiently include stakeholders (Christensen et al. 2020). Creating agreement and collaboration entails actively listening to stakeholders’ viewpoints, resolving their issues, and encouraging open discourse. The ideal candidate should possess the ability to establish rapport and trust with stakeholders to promote collaboration and teamwork in the provision of care.
Care coordination within varied healthcare teams requires effective leadership. The ideal applicant should have the capacity to guide multidisciplinary groups of doctors, nurses, social workers, pharmacists, and other healthcare professionals (Reeves et al. 2020). To guarantee harmonious cooperation and the best possible patient results, this entails defining clear goals, assigning responsibilities, hosting team meetings, and settling disputes.
In conclusion, the care coordinator’s job is critical to making sure that organizations and communities provide effective, patient-centered care. We have identified the key duties and qualities required for a successful care coordination leadership role through the use of this toolkit. To promote interprofessional teamwork and accelerate beneficial changes in the delivery of care, effective care coordinators need to be highly skilled in collaboration, leadership, and communication. Advocates for patient-centered care practices and ongoing care improvement should be their roles. In addition, to attain the best possible results in care coordination, a thorough comprehension of legal requirements, ethical issues, and data use is necessary. Care coordinators are playing an increasingly important role as businesses adjust to changing healthcare environments and community requirements.
Bajic, B., Rikalovic, A., Suzic, N., & Piuri, V. (2020). Industry 4.0 implementation challenges and opportunities: A managerial perspective. IEEE Systems
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