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Nova Scotia’s Care Coordination Centre (C3): Real-Time Decision-Making for System-Wide Patient Flow

Andrea MuensterAndrea Muenster, is the senior director of the Care Coordination Centre (C3) and scheduling and time, Halifax, NSLogan LawrenceLogan Lawrence, is the lead implementation scientist at Nova Scotia Health (NSH), Halifax, NSSamantha LavalléeSamantha Lavallée, is a research project manager at NSH in Halifax, NSBrittney MacKinnonBrittney MacKinnon, is the senior director of innovation at the NSH Innovation Hub, Halifax, NSTanya MunroeTanya Munroe, is the senior medical director, Access and Flow Network/C3, Halifax, NS; and the medical site lead, Colchester East Hants Health Centre, Truro, NS
2026en

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Problems with patient access and flow can harm patients, burden providers and increase pressure on health systems. "Command centre" technology uses real-time data to prioritize and expedite care, enhancing coordination and system planning. However, evidence is confined to individual sites or small groups of facilities, so the feasibility of the approach at a jurisdictional scale remains unclear. This paper documents Nova Scotia's implementation of the province-wide Care Coordination Centre to describe key activities and challenges from inception to sustainment. We offer insights and considerations for policy makers and decision-makers interested in establishing jurisdiction-wide command centre models.

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