Introduction Patients with comorbidities have been shown to experience increased vulnerability during the COVID-19 pandemic, and to suffer disruption in their care coordination; having a multidisciplinary team is a care coordination strategy that can improve outcomes. The aim of this study was to describe the perspectives of team leads on coordination practices at their multidisciplinary health team (MHT) prior to, and during the COVID-19 pandemic.

Methods Using a cross-sectional survey design, the Medical Home Care Coordination Survey for healthcare teams was distributed by email to executive directors or physician leads at all MHTs in Ontario, Canada. The outcome measures included the eight domains of care coordination, and participants’ rating of care coordination in general.

Results The response rate was 58/241 (24%); 70% (95% CI: 0.50, 0.76) of teams reported using a validated method to identify complex patients in need of care coordination. High ratings for most items in the domains of care coordination prior to COVID-19 were maintained during the pandemic. Improvements can be made in providing patients with a copy of their care plan, making peer support accessible, and ensuring the timely inclusion of discharge summaries in the primary care record. Most participants (72%) rated care coordination in general at their MHT as very good or excellent prior to the pandemic; this decreased to 59% during the pandemic (p=0.016; 95% CI: −0.048, 0.31).

Discussion To improve care coordination beyond the pandemic, providers should consider increasing the use of validated tools to identify patients with complex needs, and incorporating peer support systems to enhance care coordination efforts.

The authors have declared no competing interest.

This study was funded by the Family Medicine Teaching Unit at Markham Stouffville Hospital, Oak Valley Health.

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The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

The Research Ethics Board at Oak Valley Health in Markham, Ontario, Canada, gave approval for this work (REB #119-2009).

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Email: jpermaul.phdgmail.com

Email: christopher.meaneyutoronto.ca

Email: jennifer.raynerallianceon.org

Email: smarisetteoakvalleyhealth.ca

Email: rahim.moineddinutoronto.ca

Email: ross.upshurgmail.com

Conflict of Interest Statement: The authors have no conflicts of interest to declare.

Funding Statement: Support for this project was provided by the Family Medicine Teaching Unit at Markham Stouffville Hospital, Oak Valley Health.

All data produced in the present work are contained in the manuscript.