Despite expanded infrastructure, insurance coverage, and digitization under UHC reforms, improvements in patient outcomes have lagged. Fragmentation across facilities, specialties, and care levels results in weak referral systems, poor follow-up, duplication of services, and suboptimal outcomes. Care coordination has emerged as a core provisioning function that connects services, providers, and information across the patient journey. Digitization, especially interoperable longitudinal EHRs, can enable coordination, but only when embedded within structured workflows and supported by defined human roles. Moving beyond service utilization metrics toward continuity, accountability, and patient-reported outcomes is essential. This session positions care coordination as a systems strategy to bridge the persistent gap between access and outcomes.
Analyze why the continuum of care has not been prioritized as a quality strategy.
Identify policy and institutional shifts required to elevate care coordination.
Examine the design and alignment of clinical, administrative, informational, and social coordination components.
Assess the role and limitations of interoperable digital systems in coordinated care.
Discuss practical approaches for measuring continuity, accountability, and patient outcomes.
Faculty & Improvement Advisor, Institute for Healthcare Improvement
Country Lead - Public Policy and Finance, Gates Foundation
CEO, Arohan - Partners for Advancing Health Systems
Additional Chief Secretary, Health and Family Welfare, Govt. of Kerala, India
CEO, ACCESS Health International