Table 1 Essential mechanisms for effective coordination according to Okhuysen and Bechky’s [7] coordination framework
From: Study protocol: identifying and delivering point-of-care information to improve care coordination
Coordination mechanism | Definition/example |
|---|---|
Plans and rules | Explicit definitions of objectives, responsibilities, and resource allocations (e.g., Who is allowed to place a fecal occult blood test (FOBT) order?) |
Objects and representations | Technologies, tools, and any device used to “create a common referent around which people interact, align their work, and create shared meaning” [7] (p. 474); for example, the use of templates to place a consult for a colonoscopy test. |
Roles | Expectations of specific individuals. For example, which PACT member is supposed to follow-up with the patient once test results are available? |
Routines | “Repeated patterns of behavior that are bound by rules and customs” [7] (p. 477). For example, when test results are completed, the ordering provider is notified. |
Physical proximity among team members | For example, where are the ordering provider and the testing facilities located? |