Care coordination is probably one of the most popular concepts in medical care today. The main goal of care coordination is to meet patient’s needs and preferences in the delivery of high-quality care. Care must be coordinated not only within the practice, but between it and community settings, labs, specialists and hospitals.
The service aims to coordinate and optimize the social, medical, and psychosocial health of the patients in the Harlem East Life Plan (http://www.harlemeastlifeplan.com/), through a collaborative team approach. The mission of Harlem East Life Plan is to develop and maintain interoperability profiles to support coordination of care for patients.