“Children with special health care needs, their families, physicians, practice teams and community providers will benefit from having a clear, written Medical Summary, Emergency Treatment Plan and Plan of Care… these are the components of a Comprehensive Care Plan.”
Source: The Comprehensive Care Planning, Center for Medical Home Improvement
- Medical Home
Introduction - Medical Home Strategies
- Engage Families as Partners
- Identify Children & Youth with Special Health Care Needs
- Use Planned Encounters
- Improve Care Coordination:
Create Care Plans - Support Adolescent
Transitions - Collaborate with
Community Resources - Refine Coding &
Reimbursement Practices - Find Regional Centers
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Site last updated:
July 22, 2008
Wisconsin Resources
Sample Care Plan – Marshfield Clinic, Chippewa Falls (PDF)
Sample Emergency Care Plan – Group Health Cooperative, Madison (PDF)
Emergency Care Plan Form & Comprehensive Care Plan- Interactive – Group Health Cooperative, Madison (Word)
National Resources
Center for Medical Home Improvement
Practice-Based Care Coordination: A Medical Home Essential, McAllister, J., Presler, E., Cooley, W.C. Pediatrics. 2007. (PDF)
ACEP/AAP Emergency Information Forms
Build Your Own Care Notebook – National Center for Medical Home Initiatives
Healthy Ready to Work Portable Medical Summary
Condition-specific Care Planning and Management Tools
- Autism Management Plan (PDF)
Enhancing Collaboration between Primary and Sub-specialist Care (PDF)
Wallet Medication List (PDF)
The Role of the Pediatrician in Rural EMSC, Pediatrics. 1998
(PDF | link)
Care Coordination in the
Medical Home: Integrating Health and Related Systems of Care for Children with Special Health Care Needs, Pediatrics.2005
(PDF | link)
A comprehensive medical summary/care plan is essential for children/youth with special health care needs who may have complex and lengthy medical records. A careplan provides:
- Parents, patients, medical, educational and other care teams one consistent information source;
- Facilitating emergency care; and
- Providing an action plan that the care team can use to prioritize goals, assign tasks, implement and assess care.
Videos
Parents and physicians discuss why the care plan is the ‘cornerstone’ of a good Medical Home.
Medical Home Resources
Care plans from Wisconsin and nationally developed templates can be found in this resource section. Both Marshfield Clinic in Chippewa Falls and Group Health Cooperative in Madison have integrated their special needs care plan into their electronic record system. The National Center for Medical Home Initiatives has created a Build Your Own Care Notebook section on their Web site. There is a link to a set of condition-specific care plans and a guidebook focusing on building effective communication between the primary care doctor, the specialist and the family. More care plans supporting transition to adulthood can be found in the following section.