CMC CoIIN Implementation Library

Part of a ‘new to program’ packet sent to new complex care program patients/families several weeks ahead of their first complex care program clinic visit.

Findings from Oregon team’s CoIIN QI project presented at the Adolescent Health Initiative virtual meeting 2021.

The Shared Care Planning Handbook describes the process of creating a Shared Plan of Care, and is designed to be used alongside the Pediatric to Adult Care Transition workbook. The transition workbook includes information about 1) Introduction to the Medical Home; 2) Discussion of Medical Conditions and Medications; and 3) Transferring Care to use as a resource and workbook with the primary care provider on an ongoing basis during transition preparation, and to support a new patient visit with an adult primary care physician.

This study aimed to explore the experiences of Oregon families of YAMC who had recently transitioned to adult health care providers, and obtain recommendations for transition from family members, to inform the development of the CoIIN quality improvement project.

AMCHP newsletter ‘Pulse’ interview 2021 of Oregon CoIIN Implementation team members.

Root Cause Analysis using CoIIN Environmental Scan findings.
The Oregon team created the following problem statement to focus its QI work: “Young adults with medical complexity (YAMC) and their families are not adequately prepared for, or supported in, the transition from pediatric to adult healthcare.” We used a fishbone diagram tool to guide a root cause analysis of our problem statement. A root cause analysis seeks to identify the primary reasons underlying a problem. The results of our analysis appear on page 1.

AMCHP 2019 presentation on creating meaningful settings to strengthen family involvement. – CMC CoIIN Team Oregon