EMS FOR CHILDREN - RECOMMENDATIONS FOR COORDINATING CARE FOR CHILDRENWITH SPECIAL HEALTH-CARE NEEDS

Study objective: To address the need for coordinated care for children and their families during the acute care phase of their hospitalizati on. Methods: A multidiscipline task force developed this concept paper through a consensus process. The process was coordinated by the Emerg ency Medical Services for Children Program (a program of the Health Re sources and Services Administration and the National Highway Traffic S afety Administration). The task force included representatives from pr ehospital care, acute care, rehabilitation, primary care, and educatio n, as well as consumers. This representation provided a broad perspect ive on the needs of children and their families in the transition from hospital care to home. Conclusion: One designated individual is essen tial during the acute care phase who can assist the family with gainin g information and resources to ensure a successful transition to commu nity services and resources. This article provides a framework for acu te care facilities and providers to use in planning services and worki ng with acutely ill and injured children. Several recommendations high light the need for care coordination to be initiated early in the chil d's hospitalization. An overview of services and resources (both healt h and educational) that a child and family may need is also provided. Such services and resources include identifying a care coordinator, wo rking with the family to identify a primary care provider before hospi tal discharge, and building bridges with community-based health and ed ucation services.