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Implementing a Care Coordination Strategy for Children with Medical Complexity in Ontario, Canada: A Process
Samantha Quartarone1, Jia Lu Lilian Lin2, Julia Orkin1,3,4
1Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, CA.
International Journal of Integrated Care
|May 18, 2022
Summary
Ontario's Complex Care for Kids Ontario (CCKO) strategy improved care coordination for children with medical complexity. However, system fragmentation and communication gaps hindered seamless care delivery.
Area of Science:
- Healthcare delivery
- Pediatric care
- Care coordination
Background:
- A provincial strategy, Complex Care for Kids Ontario (CCKO), was implemented in 2015 to enhance care coordination for children with medical complexity (CMC).
- This study presents a process evaluation of the CCKO intervention's rollout, examining implementation processes, impact mechanisms, and contextual factors.
Observation:
- The evaluation utilized a multi-method design, including semi-structured interviews with 38 key informants and 10 families, alongside reviews of provincial plans and process documents.
- Key informants and families were involved in the Complex Care for Kids Ontario (CCKO) initiative.
Findings:
- CCKO fostered valuable collaborations between complex care teams, community partners, and regional sites.
- Challenges in inter-sectoral communication and coordination impeded holistic care coordination, and provincial system fragmentation limited the delivery of seamless care.
Implications:
- This evaluation contributes to understanding population-level care coordination interventions for CMC.
- Lessons from CCKO can inform the reproducibility and adaptation of similar interventions in diverse healthcare settings.
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