Staff awareness of information about the patient Integration with specialists Provider knowledge about the patient Integration post visit Provider communication with the patient Integration following a hospital stay Information flow to your primary provider Information flow to other providers in your primary provider’s office Information flow to your specialist Information flow post hospitalization Coordination with home and community resources Continuous familiarity with patient over time Proactive action before visits Post-visit information flow to the patient Responsive independent of visits Patient Centeredness Shared responsibility PPIC 2.1 PPIC 2.0 