- Development of a Community-Based Medical Neighborhood for Children with Chronic Conditions
- Progress in Community Health Partnerships: Research, Education, and Action
- Johns Hopkins University Press
- Volume 13, Issue 1, Spring 2019
- pp. 83-95
- View Citation
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Background: Children with chronic conditions have unmet health needs. Coordinated Healthcare for Complex Kids (CHECK) is a demonstration project with aims to improve health outcomes using an innovative approach to community-based health care.
Objective: We describe the development and implementation of a community-based medical neighborhood (CBMN).
Methods: The CHECK CBMN used several novel approaches to partner with clinical and community organizations, including care coordination software, advisory board participation, and an external social service referral database (SSRD).
Results: The CHECK CBMN executed 25 formal partnership agreements. We hosted 15 advisory board meetings, participated in 43 community events, and made 1,443 community-based social service referrals. We provided 43 trainings on pediatric chronic conditions and participated in four community in-service trainings.
Conclusions: The CHECK CBMN contributes to the understanding of how innovative processes and collaboration can improve care coordination for children with chronic conditions through community and clinical partnerships.