Advancing Care Coordination Project

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2018 Advancing Family-Centered Care Coordination for CYSHCN Project

The Medical Home Initiative of Children's Health Alliance of Wisconsin is supporting implementation of quality improvement grants designed to support work with Wisconsin pediatric primary care teams to advance medical home care provision for children and youth with special health care needs through the use of a Shared Plan of Care.

A Shared Plan of Care is a living document completed by parents and health care providers that includes information necessary to assure issues affecting a child's health are identified and accessible across systems, and that activities and accountability for addressing those activities are documented. Key components include:

  • Medical summary
  • Family strengths and preferences
  • Negotiated plan of action (including clinical and family goals, actions to address goals, responsible partners, and timelines)
  • Other necessary attachments (such as emergency plans, chronic condition protocols, and relevant legal documents such as IEPs or 504 plans)
     

2016-2017 Shared Plans of Care Project Summary
A summary of the 2016-2017 projects using Shared Plans of Care to improve care for Wisconsin children and youth with special health care needs.


Learning Community Information

 

Learning Community Calls

4th Tuesday of even months (12:00-1:00pm):


Resources


Shared Plan of Care Examples


2018 QI Projects Summit
April 24, 2018

A day-long summit where information was shared to learn more about Shared Plans of Care, the Care Coordination Measurement Tool, Plan-Do-Study-Act cycles, and focus-area activities, as well as networking with professionals and families. Keynote speaker Dr. Jill Rinehart, M.D., F.A.A.P., from Vermont, discussed best practice use of Shared Plans of Care.

Materials:

 


2017

2016

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