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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?