Improvements in care delivery for children with medical complexity are becoming a major focus of national and local health care and policy initiatives. A number of new models have been developed, with promising examples of enhanced care coordination and family engagement.
Discussing, Models of Care Delivery for Children with Medical Complexity, the lead author and experts in the field reviewed the article’s key content and shared thoughts on the implications of its recommendations.
This was the third in a series of conversations that we will have throughout 2018, with authors of the PEDIATRICS Supplement: Building Systems that Work for Children with Complex Health Care Needs.
- Elisabeth S. Pordes, MD, MPH - Assistant Professor, Pediatrics, Children’s Hospital of Wisconsin
- Maria Brenner, PhD, MSc - Associate Professor, School of Nursing & Midwifery, Trinity College Dublin
- David Bergman, MD - Associate Professor of Pediatrics, Lucile Salter Packard Children’s Hospital
Can you share more on the care management service line that is being experimented on at Cincinnati Children's and CHOP?
David: Cincinnati Children’s Medical Center has implemented a care management service line that covers the population of children cared for in their primary care network. Children with medical complexity are included in this network. They use the Pediatric Medical Complexity Algorithms and a social risk survey to segment their pediatric patient population into 9 categories. The appropriate mix of care management professionals and services are then mapped to each of the categories. As part of the service line development they have established role definitions for both licensed and non-licensed health professionals. They have also established a set of practice guidelines which delineate their care management activities. CHOP has contracted with their local Medicaid Managed Care Organization to support a care management team of 7 FTE’s consisting of RN’s, MSW’s, and community health workers to provide care management services. Continuing support of the team will depend on the increased value provided through care management services. I suggest that you contact the individual programs for more details.