Challenges in implementation of care coordination model for patients treated with HCT
| Challenge . | Details . |
|---|---|
| Variation at patient and provider levels, leading to differences in gaps in care at each level | Heterogeneity of clinical and sociodemographic profiles of patients |
| Differences in the capacity, infrastructure, organizational commitment, and available resources of the practices and transplantation centers | |
| Reimbursement challenges | Lack of incentive for providers to work collaboratively |
| Unclear reimbursement policies on components of the model, such as patient navigators, telemedicine services | |
| Coverage gaps/poor coverage for post-HCT care (once the standard transplantation benefits package is completed) | |
| Information technology challenges | Lack of functionality to help with care coordination issues |
| Lack of interoperability of electronic medical record systems | |
| Assuring clinical competence for complicated but highly specific diagnostic and management issues | Requires buy-in from all stakeholders for promoting educational efforts to enhance care for patients treated with HCT in both the pre- and post-HCT phases |
| Developing close collaborative networks to help provide timely and optimal care for issues that are beyond the scope of their knowledge and training | |
| Paucity of community resources | Lack of community-based programs to provide optimal medical and psychosocial care to patients treated with HCT |
| Challenge . | Details . |
|---|---|
| Variation at patient and provider levels, leading to differences in gaps in care at each level | Heterogeneity of clinical and sociodemographic profiles of patients |
| Differences in the capacity, infrastructure, organizational commitment, and available resources of the practices and transplantation centers | |
| Reimbursement challenges | Lack of incentive for providers to work collaboratively |
| Unclear reimbursement policies on components of the model, such as patient navigators, telemedicine services | |
| Coverage gaps/poor coverage for post-HCT care (once the standard transplantation benefits package is completed) | |
| Information technology challenges | Lack of functionality to help with care coordination issues |
| Lack of interoperability of electronic medical record systems | |
| Assuring clinical competence for complicated but highly specific diagnostic and management issues | Requires buy-in from all stakeholders for promoting educational efforts to enhance care for patients treated with HCT in both the pre- and post-HCT phases |
| Developing close collaborative networks to help provide timely and optimal care for issues that are beyond the scope of their knowledge and training | |
| Paucity of community resources | Lack of community-based programs to provide optimal medical and psychosocial care to patients treated with HCT |