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Children With Medical Complexity

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Photo: John O'Boyle, Children’s Specialized Hospital, New Brunswick, New Jersey

Understanding Medical Complexity

The ACE Kids Act of 2017 (S. 428/ H.R. 3325) was introduced in the Senate in February by lead cosponsors Sens. Charles Grassley, R-Iowa, and Michael Bennet, D-Colo, and in the House in July by lead cosponsors Reps. Joe Barton, R-Texas, and Kathy Castor, D-Fla. This legislation follows the ACE Kids Act of 2015, which achieved strong bipartisan support in both the House and Senate. Currently, the House bill has 53 co-sponsors, and the Senate bill is supported by 21 co-sponsors. 

View a cost analysis of similar 2015 legislation by an independent non-profit.

Resources

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Toolkit
Government Relations Toolkit
March 12, 2018

CHA members can view and print the latest materials for outreach to federal and state lawmakers.

Article
Pediatric Long-term Care Program Prepares Patients and Families for Home
February 13, 2018

Children's hospital facility addresses specialized needs of infants and children who require extended medical care and rehabilitation.

Talking Points
Medicaid is Vital to Children's Health
January 5, 2018

It is imperative Medicaid proposal reforms maintain a sustainable, viable Medicaid program for children.

Talking Points
Support the ACE Kids Act (S. 428, H.R. 3325)
January 5, 2018

Encourage your members of Congress to support the ACE Kids Act of 2017 (S. 428/H.R. 3325).

Analysis or Summary
ACE Kids Act 2017 Side-by-Side of Key Provisions
November 17, 2017

The ACE Kids Act 2017 Side-by-Side compares provisions in the Senate (S. 428) House (H.R. 3325) bills.

Article
Caring for Children with Medical Complexity with Help from Parents, Peer Institutions
November 8, 2017

Children's National's Complex Care Program is an established service line and medical home to more than 2,000 medically complex patients.

Analysis or Summary
ACE Kids Act of 2017 - High-level Summary (S. 428/H.R. 3325)
November 3, 2017

CHA summarizes the major similarities and differences between the Senate and House versions of the ACE Kids Act of 2017.

Analysis or Summary
ACE Kids Act of 2017 - Section-by-Section Summaries of S. 428 and H.R. 3325
November 3, 2017

CHA provides an overview of the content within each section of S. 428 and H.R. 3325.

Article
Integrating Medical and Behavioral Care Helps Children With Medical Complexity
October 4, 2017

Cook Children's found coordinated case management improved care as more than two-thirds of its medically complex patients also had a behavioral ...

Article
Proactive Care Management Promotes Quality Outcomes for Patients with Medical Complexity
October 4, 2017

Cincinnati Children's launched its care management program to focus extensive care coordination on its highest-risk patient population.

Article
Engaging Families to Improve Care for Children with Medical Complexity
October 4, 2017

A medical home program at UCLA Mattel Children's Hospital provides primary and urgent care for medically complex patients.

Article
Hub Model: A Different Approach to Caring for Children with Medical Complexity
October 4, 2017

Stanford Children's Health employs a "hub model" rather than striving solely to provide a medical home for medically complex patients.

Article
Health Care Reform Bill and CHIP: What You Need to Know
September 20, 2017

Here's the latest action in Congress on two issues that affect children's health care and what you can do to get involved.

Letter or Testimony
ACE Kids Act "Dear Colleague" Letter
July 28, 2017

House sponsors, Reps. Joe Barton (R-TX) and Kathy Castor (D-FL) circulated a “Dear Colleague” letter inviting House members to join them as ...

Article
Reducing Admissions, ED Visits and Length of Stay for Children with Medical Complexity
July 27, 2017

The CARE Award strengthens the connection between a children's hospital and the ambulatory network to better care for children with medical ...

Press Release
House Bipartisan ACE Kids Act of 2017 Introduced to Improve Care for Children in Medicaid
July 20, 2017

Children’s hospitals applaud House initiative that could improve Medicaid for 2 million kids.

Article
Strategies to Reduce Hospitalizations and Emergency Visits for Children with Medical Complexities
June 12, 2017

As part of the CARE Award, Wolfson Children's Hospital experienced improvement in a number of metrics, including reducing emergency visits.

Article
Creating Medical and Psychosocial Goals for Patients With Medical Complexity
May 23, 2017

A screening tool helps Children's Hospital Colorado nurse coordinators connect the dots and set social-behavioral and medical goals for patients.

Article
Clinic Helps Children with Medical Complexity Reduce Emergency Room Visits
April 19, 2017

St. Joseph’s Children’s Hospital's Chronic-Complex Clinic for children with medical complexity serves as a medical home to span inpatient and ...

Article
Streamlining Care for Patients with Complex Medical Conditions
April 19, 2017

Children's Mercy Kansas City's Beacon Program improves outcomes and reduces costs for patients with complex medical conditions.

Policy
Senate ACE Kids Act Overview of Changes
March 1, 2017

A high level summary of changes made from the 2015 ACE Kids Act introduced in the Senate.

Press Release
Bipartisan Bill, ACE Kids Act of 2017, Introduced to Improve Care for Children in Medicaid
February 17, 2017

Children’s hospitals support S. 428 to advance care for children with complex medical conditions in Medicaid.

Article
Focusing the National Conversation on Children's Health
February 8, 2017

In 2017, protecting the nation's children will be critical.

Article
Advancing Care for Children With Heart Defects
February 8, 2017

Some of the most significant advances in pediatric health care over the last 25 years have enhanced the care of children born with the most common ...

Article
Children's Hospitals Can Help Patients Transition into Adult Care
February 8, 2017

Here's how hospitals can support long-term outcomes for pediatric patients with chronic medical issues and help them thrive into adulthood.

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Contacts

Presentations

Annual Leadership Conference

Leaders share the latest insights from the CARE award study to improve outcomes and reduce costs for children with medical complexity.

CARE Award

CARE Award Delivery System Transformation

An ambitious, national project is underway to test new payment and delivery models for children with medical complexity. 

Toolkit

The Capitol building.

Government Relations Toolkit
CHA members can view and print the latest materials for outreach to federal and state lawmakers.

Newsletters

Upcoming Events

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Policy Update Calls

Members receive the latest updates and suggest ways to best influence policy issues that impact children's health and children's hospitals in a weekly conference call.

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