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.
Ensuring the Ability to Continue Patient-Centered Medical Home Capabilities
In 2015 Pediatric Consultants of Troy received the best practice award for the best overall pediatric practice. The practice needed to provide appointment at times which worked for their patients. In addition, there was a need to increase organization around patient appointments to ensure all areas were being addressed including, self-management goals, setting future appointments, and closing gaps in care. Learn more about their strategies to address these issues.
Improving Access to the Medical Neighborhood and Reducing Gaps in Asthma Management
In 2015 the Briarwood Center for Women, Children and Young Adults received the best-practice award for most improved pediatric practice. This was due in large part to the hard work and dedication of its staff and commitment to their patients. There was a need to better connect patients with community resources within the medical neighborhood as well as develop a need to reduce its gaps in care with asthma management. So what made a difference in their practice?
Ann Shoop MSN, RN, Care Manager, Neighborhood Family Health Center Beth JurczakL MSW, Care Manager, Neighborhood Family Health Center Jan Pund, RN, Care Manager, Ypsilanti Health Center Maureen Koval, RN, MIPCT Regional Clinical Lead, Facilitator Lynn Klima, MSN,RN, MIPCT Master Trainer