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When care providers of many disciplines contribute to the care of patients, the ability to name the problems they define and manage becomes an important issue, both for accountability and communication. This paper describes the experience of one multidisciplinary group in adding a pre-existing vocabulary to the current COSTAR medical diagnosis directory. The vocabulary allowed nurses and social workers to name the physiological, psychosocial, environmental and health behavior problems they addressed in coordinating post-acute care for frail elderly patients. The vocabulary was used to describe 46% of the problems defined for this patient population. Eight terms needed to be added to make the vocabulary complete for describing problems managed by patient care coordinators. |
