This care roadmap provides families with contact information for each of their providers and services along with family support resources.
These graphics visually depict a patient’s contacts with different services within the health system.
This document contains question prompts for care coordinators to ask during the intake visit. These questions help the care team to get a good picture of the child and their family, along with their strengths and needs.
This form prompts families to think about concerns, priorities, and unmet needs for their child before their care coordination intake visit.
This graphic recording shows Team Indiana’s experience with care coordination and integration.
Team Wisconsin created goal cards as a tool to spark ideas for families when they are asked about goals.
These instructions from Team Wisconsin outline their process for creating a SPoC in their EMR system.
This is the template Team Wisconsin uses in their EMR system.
This template can be used to summarize the SPoC for the family and identify follow-up actions for each member of the care team.