Care Coordination Fact Sheet
One-page fact sheet which defines care coordination characteristics, functions, and competencies for professionals providing health care services.
Family Centered Care Coordination Questionnaire
One-page family questionnaire which practices can use to collect information about family concerns, needs, and preference in the care that their child receives within the practice.
New Patient Referral/Consultation Information Form
One-page customizable form for primary care clinicians to provide comprehensive information about patients to specialists during the referral process.
Co-Management Letter and Agreement
Three-page customizable form which allows primary care clinicians to establish a care coordination/co-management agreement with specialists.
Community Resource List
One-page list of resources which can be used by practices to educate patients and refer to community services as appropriate.
Patient- and Family- Centered Care Coordination: A Framework for Integrating Care for Children and Youth Across Multiple Systems
This policy statement, written by the American Academy of Pediatrics Council on Children with Disabilities and the National Center for Medical Home Project Advisory Committee, outlines essential partnerships and activities necessary for effective care coordination in pediatric care.
Making the Grade: How to Coordinate and Collaborate with Schools
Developed by Bright Futures, this resource provides pediatric clinicians with tips on how to connect and collaborate with schools in order to promote optimal care for pediatric patients.
Got Transition/Center for Health Care Transition Improvement
Coordinated and cohesive transition from pediatric to adult care is an essential part of medical home and care coordination. This National Center provides tools, resources, literature, and technical assistance for practices looking to improve the care they provide to pediatric patients as they transition to adult care.
Achieving a Shared Plan of Care with Children and Youth with Special Health Care Needs
This white paper and implementation guide, published by the Lucile Packard Foundation for Children’s Health, explains the importance of a comprehensive and individualized plan of care designed to implement effective care coordination.
Building Your Care Notebook
This collection of resources allows families and clinicians to keep track of their child's health care clinicians, community resources, medications, and other materials necessary for family-centered coordinated care.