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Requirements for Enrollment in the Pediatric Complex Care Program

Following are requirements for enrollment in the program. We make exceptions depending on your child's situation.

  • Their age is under 15 years at enrollment. We follow enrolled patients for years after that but generally do not take patients who will soon transition to adult care.
  • They have a a primary care physician with whom we can partner. We do not replace the primary care physician
  • They have four or more specialty providers at Monroe Carell
  • They don't already have a team of specialists focused on their care
  • They depend on a medical device, such as a G-tube or trach
  • A lifelong chronic illness that is not expected to go away and that will require ongoing care
  • In the past year, they have had: one hospital admission of 10 days or more; more than one hospital stay; or one ICU admission

Our team will see your child in two-hour quarterly outpatient visits, which include time with a pediatrician, pharmacist, social worker and case manager. In these visits we focus on how your child’s unique health challenges affect other areas of their life. 

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