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What is to be done?

What is to be done?

Incremental steps, with experimentation along the journey, is the way to move towards delivering coordinated care for a population.

Mark Britnell

Global Healthcare Expert, KPMG International; Senior Partner, KPMG in the UK

KPMG in the UK


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The order in which you take the steps outlined will depend on your organization’s starting point and the particular needs of your population. However, there are some logical steps to take early on, to set the foundations for the rest of the journey.


  • Articulate a clear moral purpose for delivering coordinated care, with alignment across payers and providers.
  • For each aspect of this journey, define where you want to end up (for example, do you eventually want to use capitated payment, or is this not possible in your system?)
  • Place all the changes within a narrative that make sense to staff and patients.
  • Make sure that the relevant patient groups are a part of your coalition for change.
  • Ensure there is an overall governance structure that will support and manage the long-term changes.


  • Select a target population to begin the process.
  • Ensure that your population understands and supports the move to coordinated care.
  • Create new approaches to providing care across multiple professionals and services.


  • Align the financial and other incentives in your organization with the new form of coordinated care.
  • Ensure you have new supporting technology and infrastructure in place.

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