Pediatric care coordination is patient and family centered, assessment driven, and team based activity designed to meet the needs of children and youth while enhancing the care giving capabilities of families. In pediatrics, chronic medical conditions are just one factor contributing to the child/family's need for an effective pediatric medical home care team. Other important factors include the child's physical, social and mental functioning; as well as the family's resources, structure and dynamics. In the pediatric medical home, the health care team members often include Care Managers who work with the physician, other health professionals, office staff, specialists, community, patient and family. The team-based approach supports the care experience and health outcomes of children while enabling better opportunities to equip families for successful care giving and self-management.
Patient-and-Family-Centered Care Coordination: A Framework for Integrating Care for Children and Youth Across Multiple Systems
From the American Academy of Pediatrics