Care Coordination

Care coordination is a process that involves linking children and their families with health care and community supports and services in an effort to achieve good health.

Coordination services may be available from health care and community-based organizations. These services can address medical, social, developmental, behavioral, financial and educational aspects of health. Coordination may include sharing information with different agencies as well as active connection to health care and community services. Children and families are always at the center of the support.

The Medical Home Initiative collaborates with clinical, public health and community organizations across Wisconsin to improve support systems of coordination that promote family-centered practice. We invite you to collaboratively pursue solutions to challenges in systems of coordination that benefit all children and families.

There are three learning community projects: Shared Plan of Care, Developmental Screening and Food Insecurity and Health. These learning communities are focused on testing ways to improve systems of coordination or early intervention.

AAP policy statement: Patient- and Family-Centered Care Coordination: A Framework for Integrating Care for Children and Youth Across Multiple Systems (2014)

Clinician Resources

Family Resources

  • Pediatric Care Plan Template
    See an example of a shared plan of care from the American Academy of Pediatrics. Talk to your provider about developing a plan for your child.

Contact Our Staff

Colleen Lane
Program Manager
Medical Home
(608) 442-4177

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Monthly news, events and resources from the Wisconsin Medical Home Initiative.

The Wisconsin Medical Home Initiative is funded by the Wisconsin Department of Health Services’ Title V Children and Youth with Special Health Care Needs Program and the Maternal Child Health Program located in the Division of Public Health.

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