National Care Coordination Academy

A Partnership of the Collaborative Improvement and Innovation Network for Children with Medical Complexity at the Center for Innovation in Social Work and Health, Boston University School of Social Work, and the Division of General Pediatrics and the Department of Accountable Care and Clinical Integration, Boston Children’s Hospital/ Harvard Medical School

With support from the Health Resources and Services Administration, Maternal and Child Health Bureau

What is the National Care Coordination Academy (NCCA)?

The NCCA grew out of the Collaborative Improvement and Innovation Network to Advance Care for Children with Medical Complexity’s (CMC CoIIN’s) recognition that programs needed implementation support when starting care coordination (CC) initiatives. The NCCA aims to provide the necessary skills, tools, and ongoing mentoring support to guide implementation of CC tools and performance measures.

Beginning in September 2020, ten interdisciplinary teams, each including healthcare providers, family partners, and Title V and Medicaid representatives, have engaged in ongoing virtual meetings discussing various topics related to CC implementation, measurement of effectiveness, and sustainability of CC model. The NCCA also provides ongoing technical assistance to member teams on implementing care coordination and care integration tools, processes, and performance measures as a means to sustain care delivery innovation for children and youth with special healthcare needs (CYSHCN) and children with medical complexity (CMC).

Why Care Coordination?

In recent years, CC has received attention from across the US, as it has been shown to reduce low value, fragmented care, and to improve family-reported experience of care. Public and commercial payers, in addition to health care quality policymakers, are seeking processes and tools whose implementation can be incentivized to deliver high-value outcomes and meaningful outcome measures for families and CYSHCN, especially in Medicaid.

Since the launch of the Health Resources and Services Administration’s Maternal and Child Health Bureau (MCHB)-funded, Pediatric Care Coordination Curriculum (2nd Edition): An Interprofessional Resource to Effectively Engage Patients and Families in Achieving Optimal Health Outcomes, a large and diverse number of stakeholders across the United States have shown interest in CC. This excitement, as well as the foundational work of the US Maternal and Child Health Bureau in promoting systems of care for CYSHCN, created an ideal opportunity for this new program to advance CC efforts.

State team sucesses: NCCA Blog

Interview with Richard Antonelli, MD, and Heather Pomella, NP

“We Try to Do the Right Thing, at the Right Time, for the Right Person:” Team Indiana’s Approach to Care Coordination

“Bringing Families to the Center and Empowering Them to Lead Their Child’s Care:” Team Texas’s Vision for Transforming the Complex Care System

“Families Have Been the Real Game Changers:” Team Minnesota’s Journey to Fully Integrating Family Leaders

Resources

Measuring and Improving Care Coordination: Pediatric Care Coordination Curriculum 2nd Edition as a Tool to Support Implementation presentation by Rich Antonelli, NCCCTA: Jan 15, 2020, CMC CoIIN Webinar #14 Putting Families First: Shared Plan of Care and Care Coordination Slides: https://cmccoiin.box.com/s/q8vwalmitb2m3p85d9gjwctz1be2ifyn

Framework to Promote High Value, Integrated Care

Pediatric Care Coordination Curriculum (2nd Edition): An Interprofessional Resource to Effectively Engage Patients and Families in Achieving Optimal Health Outcomes, funded by USMCHB, 2019.

Patient- and Family-Centered Care Coordination: A Framework for Integrating Care for Children and Youth Across Multiple System. Turchi, R, and Antonelli, R.

Leadership Team

Richard C. Antonelli, MD, MS, FAAP, Medical Director of Integrated Care Boston Children’s Hospital, Medical Director National Center for Care Coordination Technical Assistance, Director, Care Coordination Academy

Meg Comeau, MHA, Senior Project Director, Center for Innovation in Social Work & Health, Boston University School of Social Work

Kathleen Huth, MD, MMSc-Medical Education, FRCPC, Pediatrician & Director of Ambulatory Quality Improvement, Complex Care Service, Boston Children’s Hospital; Faculty Development Lead, Boston Children’s Hospital Simulator Program (SIMPeds); Instructor of Pediatrics, Harvard Medical School

Bethlyn Vergo Houlihan, MSW, MPH, Project Director, Center for Innovation in Social Work & Health, Boston University School of Social Work

Jeff Schiff, MD, MBA, FAAP, Minnesota Medicaid Chief Medical Officer 2006-2019, and Senior Scholar Academy Health.

Jessica Flaherty, Project Director, Center for Innovation in Social Work & Health, Boston University School of Social Work

Renee Turchi, MD, MPH, FAAP, Chair of Pediatrics, and Section Chief, General Pediatrics at St. Christopher’s Hospital for Children, and Medical Director, Center for CYSHCN at St. Christopher’s Hospital for Children and Professor, Drexel University School of Public Health & College of Medicine

Heather Pomella, MSN, RN, CPNP, Manager, Care Coordination Academy

Cara Coleman, Director of Public Policy and Advocacy, Family Voices

Mary Jo Paladino, Project Coordinator, Family Voices

Anna Maria Padlan, MPH, Public Health Analyst, Integrated Services Branch Division of Services for Children with Special Health Needs, Maternal and Child Health Bureau, Health Resources and Services Administration

  

 

CCA Partners

Division of General Pediatrics and the Department of Accountable Care and Clinical Integration, Boston Children’s Hospital/Harvard Medical School

Health Resources and Services Administration, Maternal and Child Health Bureau

The National Center for Care Coordination Technical Assistance