What would be the key elements required for such a plan?

Please create a comprehensive care coordination implementation model for a primary care practice. What would be the key elements required for such a plan? The paper gives examples of both broad and specific activities that would be required to improve care coordination activities. The model should provide enough detail that any provider can get a full, comprehensive picture of the care the patient has received and needs. The AHRQ website has valuable information on creating such a model.