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Supporting patients through longitudinal care plans is the guiding principle of:
Comprehensive and Detailed Explanation From Exact Extract:
Within the Population Health and Care Transitions domain, the principle of care coordination is defined as organizing patient care activities and sharing information among all participants involved in a patient's care to achieve safer and more effective outcomes.
The use of longitudinal care plans --- ongoing, comprehensive plans that span multiple settings and providers --- directly reflects this guiding principle. These plans ensure that patients receive coordinated, consistent care over time, minimizing duplication and improving outcomes.
Team-based care and patient engagement are important elements that support coordination, but the core guiding principle underlying longitudinal care management is care coordination.
NAHQ CPHQ Content Outline -- Population Health and Care Transitions: Care Coordination, Continuity of Care, and Longitudinal Care Planning
NAHQ Healthcare Quality Competency Framework -- Population Health and Care Transitions: Coordination of Care Across Settings and Time