CoIIN State Team Work: Indiana
Using a primary-tertiary care coordination collaborative to create comprehensive, functional, fluid shared plans of care (SPoCs) for 300 identified families
Lead Organization: Indiana State Department of Health, Children’s Special Health Care Services (CSHCS) (Title V)
Family/Youth Engagement Partners: About Special Kids and Family Voices Indiana
Clinical Site: Indiana University Department of Pediatrics and Indiana University Health Physicians
Project
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.
Outcomes
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.
