Integrated Care Coordination Program project aims to develop and implement an integrated care coordination program to enhance the coordination of care for patients with complex medical needs, such as those with multiple chronic conditions or transitioning between different healthcare settings. The program will involve establishing a multidisciplinary care team comprising physicians, nurses, social workers, pharmacists, and other healthcare professionals.
These team members will work collaboratively to assess patients’ medical, social, and behavioral health needs and develop personalized care plans that address their unique circumstances. The program will also leverage technology, such as electronic health records and secure communication platforms, to facilitate information sharing and communication among care team members. Additionally, the program will focus on engaging patients and their families as active partners in their care, providing education, support, and resources to help them navigate the healthcare system and adhere to their treatment plans. By improving care coordination and patient engagement, the program aims to reduce healthcare costs, prevent avoidable hospitalizations and readmissions, and improve the overall quality of care and patient outcomes.
Saudi Arabia