CHW National Library

This document provides one-page summaries of each State Team’s project within the CoIIN.

This template can be used to summarize the SPoC for the family and identify follow-up actions for each member of the care team.

This meeting focuses on implementing strategies to identify patients for payment for care coordination.

After attending this event, participants will be able to identify the steps to identify social risk factors that could be incorporated into a payment model, understand the process a state Medicaid program can use to add social risk to medical complexity, and be able to approach their payers about the need to add social risk to payment models in their states and ways to do so.

Debbi Simmons Harris tells the story of the presentation on racism and The Category of Us. This commentary was originally published in the Complex Care Journal.

The learning objectives of this 2021 Family Voices Leadership Conference presentation are to identify ways to advocate for more robust family partnership for deeper and meaningful integration into health systems, apply family partnership in a real life setting on interprofessional teams to improve quality, and identify tools and strategies to align family leaders and allies for systems change for care of CYSHCN/CMC.

This slide presentation describes characteristics and standards for care coordination, care coordination models, and Minnesota’s approach to care coordination.

This presentation offers a Medicaid policy toolkit for Title V agencies and providers. It was originally presented at the AMCHP 2021 Conference.

Presentation about the nonprofit agency Texas Parent to Parent and its services to multiple service coordinators in Texas that work at Managed Care Organizations across the state.

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.