Integrated Care at Boston Children's Hospital | Care Coordination Curriculum

Pediatric care coordination is a patient and family centered, assessment-driven, team‐based activity designed to meet the needs of children and youth while enhancing the family’s caregiving capabilities. Care coordination addresses interrelated medical, social, developmental, behavioral, educational, and financial needs in order to achieve optimal health and wellness outcomes. Key activities of care coordination involve the creation of care plans, care tracking, and timely, structured information for all members of the care team, including the patient and their family.

This curriculum was developed to support the provision of family centered care coordination activities in pediatric medical homes. The goal was to develop a robust, but streamlined, curriculum which could be adapted to the needs of any entity (a single practice; a network of practices; a community; a statewide organization such as Title V). The majority of the content is widely applicable, but it’s highly recommended that local content be added to the curriculum — specific information about connecting to state programs and local resources.

This educational initiative was designed to be a “participatory curriculum” focused on real-time learning among various individuals serving the function as care coordinators, as well as other primary care-based team members, including pediatric and mental health providers. The intention of the curriculum is to articulate the principles and activities necessary to support any individual in the role as a care coordinator — including the patient / family.

Click here to download the full version of the Care Coordination Curriculum, 2^nd Edition.

To hear more about care coordination, go to http://www.healthaffairs.org/events/2013_02_06_patient_engagement/.

The development of the Pediatric Care Coordination Curriculum: An Interprofessional Resource to Effectively Engage Patients and Families in Achieving Optimal Child Health Outcomes, 2^nd Edition, is supported through a subcontract with the National Center for Medical Home Implementation (NCMHI), a cooperative agreement with the Maternal and Child Health Bureau (MCHB), Health Resources and Services Administration (HRSA), and U.S. Department of Health and Human Services (HHS). The information or content are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by MCHB, HRSA, HHS, or the U.S. government.

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For further information, please contact integratedcare@childrens.harvard.edu.