Care Coordination


Care Coordination

Identifying and managing the care of patients at high risk for readmission or poorly managed health has always been about doing the right thing for the patient. But keeping patients out of the hospital punishes health systems unless financial incentives are aligned in risk-based payment models that support those good intentions. The Affordable Care Act (ACA) and other federal and private initiatives are pressing changes to move to coordinated, community-based systems of ‘whole person’ care. Health systems have achieved remarkable success by employing case managers and support staff to identify opportunities, make connections, close gaps, and troubleshoot problems. Many of the critical roles in this area—helping patients access care, navigate the system and participate in their own wellness—can be supported by specially-educated and trained, culturally-competent, non-licensed clinical staff.  Through the COPE Health Solutions’ certification program for non-clinically licensed (and licensed) individuals, we provide customized development, training and thoughtful execution for care coordination and patient ambassador services that improve care delivery across a fragmented and complex health care system.

We are experts in:

  • Strategic Planning

    Our programs at each facility partner are customized for the community, location and culture they are serving, as a result of careful organizational assessments, interviews with site staff and meetings with labor representatives.

  • Strategic Support

    Through overall strategy, clinical redesign and financial incentive alignment, we integrate care coordinators into a sustainable and quality-care model for population health management, Triple Aim implementation, ACO development and reduction in total costs of care.

  • Program Management

    In secure cooperation with hospital clinical and administrative staff, our on-site managers closely oversee each program’s operations in a ‘turn-key’ fashion.

  • Training Care Coordinators

    Our thoughtfully planned curriculum of hands-on clinical experience includes development of competencies for professional conduct; basic health promotion; elimination of barriers to care; identification and understanding of high risk populations; and facilitation of communication and connection to resources.

  • Impact Analysis

    We analyze and evaluate metrics to determine the impact of the program on health care utilization, as well as the health and economics of the organization and its community.


Learn more:

For more information about COPE Health Solutions’ care coordination services, please contact or Cindy Ehnes,Esq., at