Pediatric care coordination is a patient and family‐centered, assessment-driven, team‐based activity designed to meet the needs of children and youth while enhancing the family’s caregiving capabilities. Care coordination addresses interrelated medical, social, developmental, behavioral, educational and financial needs in order to achieve optimal health and wellness outcomes. Key activities of Care Coordination involve the creation of care plans, care tracking, and timely, structured information for all members of the care team, including the patient and their family.
This curriculum was developed to support the provision of family-centered care coordination activities in pediatric medical homes. The goal was to develop a robust, but streamlined curriculum which could be adapted to the needs of any entity (a single practice; a network of practices; a community; a state wide organization such as Title V). The majority of the content is widely applicable, but it’s highly recommended that local content be added to the curriculum –specific information about connecting to state programs and local resources.
This educational initiative was designed to be a “participatory curriculum” focused on real-time learning among various individuals serving the function as care coordinators, as well as other primary care-based team members, including pediatric and mental health providers. The intention of the curriculum is to articulate the principles and activities necessary to support any individual in the role as a care coordinator – including the patient / family.
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This project was funded through Family Voices' cooperative agreement (U40MC00149) with the US Department of Health and Human Services, Health Resources and Services Administration, US Maternal and Child Health Bureau, Marie Mann, MD, Project Officer.
© 2012, Boston Children’s Hospital; Revised February 2013