The Child Health Accountable Care Collaborative (CHACC) builds on the Community Cares North Carolina (CCNC) medical home model and infrastructure of regional networks to improve care for children with complex medical conditions. This CMMI grant-funded program embeds specialty care managers from hospitals and specialty clinics to collaborate with pediatricians to coordinate care. The key components of the program are described as:
Enhanced Specialty Care Management – children's specialty care managers embedded in specialist clinics, academic medical centers and tertiary hospitals to provide care coordination and collaborate with pediatric subspecialists, primary care practices and other providers.
Family-Centered Care and Connections to the Community –patient coordinators based in specialty clinics and hospitals to support parents and link patients to community-based services.
Co-Management Process – a web-based communication system to facilitate collaboration between pediatric subspecialists and primary care physicians.
Treatment and Co-Management Guidelines for high prevalence complex and chronic pediatric diseases.
Partners in this programs are the CCNC regional networks, five academic medical centers, and seven tertiary care hospitals.
