Pediatric Grand Rounds (RECORDING) Care Coordination for Children with Medical Complexity

Wednesday, December 15, 2021, 12:00 AM - Thursday, December 15, 2022, 12:00 AM

This presentation is a recording of a Stanford Pediatric Grand Rounds Session.  World-renowned experts will present the latest research, practice guidelines, and treatment protocols to advance best practices in the care of pediatric patients. These online recordings will provide pediatricians and family physicians with up-to-date clinical information on a wide range of clinical issues encountered in daily pediatric practice. 

Children with medical complexity (CMC) have complex, chronic disease involving multiple organ systems, and are often technology dependent and frequently have significant disabilities. Families of CMC require intensive care coordination to meet their diverse needs. Care coordination is a patient and family centered, assessment-driven, team based activity designed to meet the needs of children and youth while enhancing the care giving capabilities of families. Family goals should be incorporated as key elements into shared care plans.

  Release Date: December 15, 2021
  Expiration Date: December 15, 2022
  Estimated Time to Complete: 1 hour 
  Registration Fee: FREE

*Originally recorded 10/22/2021.

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

1. Evaluate emerging research, updated guidelines, and treatment protocols in order to develop strategies for best practice in the care of pediatric patients.
2. Define children with medical complexity (CMC) and impact on US healthcare.
3. Explain the need for care coordination and current models of care.
4. Describe the role of eliciting patient/family-stated goals and incorporation into care plans.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography
Feudtner C, Christakis DA, Connell FA. Pediatric deaths attributable to complex chronic conditions: a population-based study of Washington State, 1980-1997. Pediatrics. 2000 Jul;106(1 Pt 2):205-9.

Cohen E et al. Children with medical complexity: an emerging population for clinical and research initiatives. Pediatrics. 2011 Mar;127(3):529-38.
Zuo, DZ, Cohen E, Agrawal R, Berry JG, Casey PH. A national profile of caregiver challenges among more medically complex children with special health care needs. Arch Pediatr Adolesc Med. 2011 Nov;165(11):1020-6.

Simon TD et al. Pediatric medical complexity algorithm: a new method to stratify children by medical complexity. Pediatrics. 2014 Jun;133(6):e1647-54.

Cohen E, et.al. Patterns and costs of health care use of children with medical complexity. Pediatrics. 2012. 130(6): p. e 1463-70.

Kuo D, et. Al. Recognition and Management of Medical Complexity. Pediatrics 2016; 138:e20163021

Harris, DS. REFLECTIONS: THE CATEGORY OF US. Complex Care Journal 2021; ED 2. 

National Alliance for Caregiving 2018. https://www.caregiving.org/research/caregivingusa/.

Perkins J, Agarwal R. Protecting Rights of Children With Medical Complexity in an Era of Spending Reduction. Pediatrics. 2018 Mar;141(Suppl 3):S242-S249.

Turchi RM et.al. Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics. 2014 May;133(5):e1451-60.

Council on Children with Disabilities and Medical Home Implementation Project Advisory Committee

National Academy for State Health Policy (NASHP), 2020.

Pordes E, Gordon J, Sanders LM. Cohen E. Models of care delivery for children with medical complexity. Pediatrics. 2018;141(suppl 3):S212-S223.

Berry J, et al. Characteristics of Hospitalizations for Patients Who Use a Structured Clinical Care Program for Children with Medical Complexity. J Pediatr. 2011 Aug;159(2):284-90.

Lail J, Fields E, Schoettker PJ. Pediatrics. Pediatrics (2017) 140 (3): e20170484. 2017. Quality Improvement Strategies for Population Management of Children With Medical Complexity.

Bergman DA, et al. Costs and Use for Children With Medical Complexity in a Care Management Program. Pediatrics (2020) 145 (4): e20192401.

Antonelli R, et al. Standards for Systems of Care for Children and Youth with Special Health Care Needs Version 2.0. Matern Child Heal Bur Resour Serv Adm. 2017.

Chia J, Morehous J, Xu Y, Huang G, Singh S, Brinkman W. 2019.

Lin, J et al. in press. 2021.


For CME general questions, please contact 
     Email: [email protected]

Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education. 

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.