Slide 1: One Care (OC) Care Coordinator Model Discussion
One Care Implementation Council
November 10, 2020
Slide 2: Purpose: to better understand how care coordination works from the consumer perspective
Rationale:
•	One Care (OC) provides medical, behavioral health, LTSS, SDOH and other services to people with complex care needs
o	Of particular importance - a high percentage of OC members with behavioral health needs
•	The success of OC is contingent on member: 
o	Understanding the “OC model”
o	Having a trusting relationship with their care coordinator (and other care team members)
o	Holding the lead role in determining contents of care plan and care goals
o	Receiving the services and care team support needed to achieve goals
Slide 3: Care Coordinator Qualifications & Training
•	What qualifications and specific trainings do you require for your care coordinators? Give specifics.
o	 Who provides trainings? 
o	 Frequency?
o	 Topics?

Example: What kind of training do care coordinators receive to facilitate their capacity to build trust-based relationships with members?
Slide 4: Care Coordinator: Person-centered, goal-oriented care planning
What specific training and guidance is given to care coordinators to ensure they provide person-centered, goal-oriented care plans?
•	Work alongside the member/member’s family?
•	Include a care team of providers chosen by the member/member’s family?

Slide 5: Care Coordinator: Integrated Care
•	How do care coordinators work to integrate community providers into member care team to ensure alignment between care plan and achievement of member goals?
•	How are care coordinators trained to facilitate the development and attainment of care goals?

o	Homeless shelters
o	Department of Mental Health
o	Recovery Communities
o	Independent Living Centers
o	ASAPs
o	Community-based social service agencies
o	External community health workers