• Report
  • July 25, 2018

Reflections on Care Coordination

Children with medical complexity (CMC), who have multiple chronic conditions requiring care from multiple specialists, require the coordination of a myriad of supportive services from across the continuum to achieve maximum health and wellness. Families often report fragmented care due to a lack of active coordination of services including duplicated or unnecessary services, unmet service needs, excessive wait times, and absent sharing of information that may be needed to make the correct medical decisions.

This white paper shares strategies to improve coordination of care for CMC and their families employed by practice sites as a part of the CARE Award. Lessons learned from CARE QI team efforts, related project outcomes from family experience surveys, and top action steps for more effective care coordination for CMC are detailed.