March 2018, VOLUME 141 / ISSUE Supplement 3
Table of Contents
- Open AccessBuilding Systems That Work for Children With Complex Health Care Needs: Editor’s NoteRishi Agrawal, Christopher StillePediatrics Mar 2018, 141 (Supplement 3) S192-S194; DOI: 10.1542/peds.2017-1284C
- Open AccessFamilies of Children With Medical Complexity: A View From the Front LinesCarolyn Allshouse, Meg Comeau, Rylin Rodgers, Nora WellsPediatrics Mar 2018, 141 (Supplement 3) S195-S201; DOI: 10.1542/peds.2017-1284D
The experiences of families of CMC should inform and guide efforts to improve systems of care, thus positively impacting the life course of this population.
- Open AccessStatus Complexicus? The Emergence of Pediatric Complex CareEyal Cohen, Jay G. Berry, Lee Sanders, Edward L. Schor, Paul H. WisePediatrics Mar 2018, 141 (Supplement 3) S202-S211; DOI: 10.1542/peds.2017-1284E
In this article, we explore the reasons behind the rapid emergence of pediatric complex care and the implications of a growing focus on CMC.
- Open AccessModels of Care Delivery for Children With Medical ComplexityElisabeth Pordes, John Gordon, Lee M. Sanders, Eyal CohenPediatrics Mar 2018, 141 (Supplement 3) S212-S223; DOI: 10.1542/peds.2017-1284F
We compare models of care for CMC and provide a conceptual foundation for improvements to care for this population.
- Open AccessCare Coordination for Children With Medical Complexity: Whose Care Is It, Anyway?Dennis Z. Kuo, Jeanne W. McAllister, Lisa Rossignol, Renee M. Turchi, Christopher J. StillePediatrics Mar 2018, 141 (Supplement 3) S224-S232; DOI: 10.1542/peds.2017-1284G
In this review of care coordination for CMC, we address infrastructure, implementation, care coordination tools, and appropriate resource allocation under new payment models.
- Open AccessSupporting Self-Management in Children and Adolescents With Complex Chronic ConditionsPaula Lozano, Amy HoutrowPediatrics Mar 2018, 141 (Supplement 3) S233-S241; DOI: 10.1542/peds.2017-1284H
Self-management support for youth with complex chronic conditions must take into account the child’s developmental trajectory and the sharing of self-management between youth and their parents.
- Open AccessProtecting Rights of Children With Medical Complexity in an Era of Spending ReductionJane Perkins, Rishi AgrawalPediatrics Mar 2018, 141 (Supplement 3) S242-S249; DOI: 10.1542/peds.2017-1284I
In this article, we review the legal rights of CMC to services. Rights vary by payer, with implications for the design of new delivery models.
- Open AccessEthical Framework for Risk Stratification and Mitigation Programs for Children With Medical ComplexityChris Feudtner, Theodore Schall, Pamela Nathanson, Jay BerryPediatrics Mar 2018, 141 (Supplement 3) S250-S258; DOI: 10.1542/peds.2017-1284J
To help programs for CMC avoid ethical pitfalls, we examine aspects of risk stratification, identify important issues, and make specific recommendations.
- Open AccessEvolving Federal and State Health Care Policy: Toward a More Integrated and Comprehensive Care-Delivery System for Children With Medical ComplexityCarolyn S. Langer, Richard C. Antonelli, Lisa Chamberlain, Richard J. Pan, David KellerPediatrics Mar 2018, 141 (Supplement 3) S259-S265; DOI: 10.1542/peds.2017-1284K
APMs, including ACOs, have the potential to promote care-delivery systems that address the unique needs of CMC.