Clinical Innovation
This article introduces a unified care coordination model designed to streamline communication, reduce administrative load, and enhance patient outcomes through intelligent workflow orchestration. Built on a foundation of interoperability and predictive decision support, the framework empowers multidisciplinary teams to deliver consistent, high-quality care.
Modern care teams juggle multiple systems, fragmented data points, and manual handoffs that increase risk of delays or oversight. This report proposes a coordinated architecture that aligns clinical roles, real-time data, and patient-specific triggers into a single operational flow.
Core Components of the Model:
- Collaborative care pathways mapped across physicians, nurses, and coordinators
- Trigger-based alerts powered by clinical thresholds and symptom insights
- Automated task routing that adapts to patient acuity and staff availability
- Cross-system interoperability built on FHIR R4, CDS Hooks, and SMART on FHIR
- Visibility dashboards tracking patient progress, escalations, and unresolved tasks
Metrics & Governance:
- Handoff accuracy rate
- Task-cycle completion time
- Alert-response adherence
- Team collaboration index
- Readmission risk trendlines
Included Resources:
- Coordination flowcharts (SVG)
- Care-path templates (PDF)
- FHIR integration sequence diagrams (PNG)
- Clinical-role responsibility matrix (CSV)
