Hostetter M. In Focus: Toward a System of Coordinated Care. Quality Matters. The Commonwealth Fund.http://www.commonwealthfund.org/publications/newsletters/quality-matters/2007/may-june.Published May/June 2007. Accessed December 11, 2014. The care of many patients lacks necessary oversight and continuity, particularly during transitions among health care providers and settings. Current efforts to improve care coordination focus on patient coaching and tracking of high-risk groups, but widespread reform will require changes to the financing of care delivery and other system-wide changes