California Community Care Coordination Collaborative Featured at AAP National Conference


Rebecca Hernandez

Help Me Grow Orange County

Two members of the California Community Care Coordination Collaborative (5Cs) recently presented on Multiagency Collaboration to Improve Care Coordination: A County-Level Case Study of Children with Special Health Care Needs at the Community Pediatrics Poster Session of the American Academy of Pediatrics (AAP) National Conference in Washington, DC. The AAP National Conference is the most comprehensive pediatric meeting in the world and has over 9,000 attendees.

Rebecca Hernandez and Marc Lerner, MD, along with co-author Holly Henry from the Lucile Packard Foundation for Children’s Health, shared their work improving care coordination for children with special health care needs in Orange County. Their coalition, the Orange County Care Coordination Collaborative for Kids (OCC3 for Kids), is one of ten county-level care coordination coalitions active in the state. The poster covered the vision and mission of the coalition, as well as systems issues, barriers and solutions, tools created, and continuing efforts.

Of note, the poster featured the results of 21 case reviews conducted by the coalition. Case reviews were conducted to understand the issues facing families needing additional care coordination. From these case reviews, several issues were identified, including

  • stressors on the family (62%),
  • denials and delays of authorization (29%),
  • unaddressed parental mental health issues (29%),
  • inability of the medical home to meet the child’s complex needs (24%), and
  • a geographic disruption influencing the care of the child (19%).

The poster also listed innovative systems solutions that OCC3 for Kids has established, including

  • hiring a public health nurse in the role of System-Level Care Coordinator to accept referrals, provide consultations, coordinate multi-disciplinary teams and present cases to the coalition, and
  • leveraging Federal Financial Participation to fund 75% of the salary and benefits for this position.

Read more about OCC3 for Kids and see the poster below (click to view the full-size PDF).


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