Pillar V: Care Coordination

Care coordination involves the implementation, management and oversight for a participant’s individualized plan of care (IPC) which is based on participant goals and preferences. Care coordination is provided by an interdisciplinary team (IDT) composed of persons with competencies in primary care, nursing, behavioral health, and social work or community-based services. Additional competencies may also be needed based on the population being served. Care coordination requires maintaining a trusting relationship with the participant. It involves frequently monitoring the participant’s medical and psychosocial conditions and including the participant’s perspective in care planning. The outcome of care coordination is a clearly defined, collaborative path to the delivery of services and support of the participant’s goals and preferences. 

Click on the following titles to learn more and download the summary of important topics in care coordination.

Understanding The Pillar

Explore these resources to better understand the concepts behind disability-competent care coordination

Implementing The Pillar

Use these resources to understand the leading practices and techniques for implementing disability-competent care coordination within your organization

DCC In Action

Leverage these resources to understand how care coordination within disability-competent care is applied in practice