CoIIN State Team Work: Wisconsin

Improve communication within our state to determine the needs of children with medical complexity, beginning with identifying CMC through Medicaid and private insurer data run

Lead Organization: Children’s Hospital of Wisconsin

Family/Youth Engagement Partner: Family Voices of Wisconsin

Clinical Site: Children’s Hospital of Wisconsin, UW/American Family Children’s Hospital

Project

Team Wisconsin has representatives from multiple programs and parents working together to improve care coordination for CMC and their families. Together, they aim to develop and use an Anticipatory Guidance Tool (AGT) and develop a shared plan of care to achieve their goals.

Outcomes

The team is working to improve the value of the shared plan of care for families by focusing on helping them create meaningful goals. They are using Goal Cards to spark ideas and discussion within the family and with the care team. The team also used several tools, including info sheets and new workflows, to reduce unmet needs by increasing CMC enrollment in the Children’s Long Term Support waiver program.

Team Wisconsin’s journey map illustrated by ConverSketch