Team Indiana’s journey map illustrated by ConverSketch
Indiana State Department of Health
Children’s Special Health Care Services (CSHCS) (Title V)
Family/Youth Engagement Partners
About Special Kids
Family Voices Indiana
Indiana University Department of Pediatrics and Indiana University Health Physicians
Using a primary-tertiary care coordination collaborative, we will create comprehensive, functional, fluid shared plans of care (SPoCs) for all 300 identified families within 3 years which will be utilized by the family and all providers.
The Indiana CoIIN state team is creating a primary-tertiary care team collaborative with the goal of identifying unmet need and improving communication for families involved in three selected primary care practices. These goals are being met through the development and implementation of comprehensive, functional, and fluid Shared Plans of Care in conjunction with nurse care coordination to improve service delivery and quality of care for families. To date, the Indiana team has built a state Pediatric Complex Care coordination team and initiated nurse care coordination in three primary care practices across the state.
- Family engagement
- Care coordination
- Improved access to care for CMC living in rural communities, including telemedicine
- Alternative payment methods