Each child and youth will be assigned a care coordinator who will serve as a point of contact to assist the family in coordinating, consolidating and simplifying hospital visits. The care coordinator will organize and coordinate MCH medical visits and/or imaging/tests and/or therapies/procedures according to the family unit’s availabilities and preferences.
Medical care consultations by our pediatricians (+/-nurse practitioner) via the I-CCAN clinic, as well as the support of a nurse practitioner/clinician, may be offered to the most complex subset of I-CCAN patients that may benefit from integrated care services. I-CCAN services offered to families will be determined at the initial needs assessment following enrollment to the I-CCAN service and may be reassessed according to the evolution of the patient/family needs.
In summary, the I-CCAN service is meant to help:
1. Prioritize care delivery based on expressed needs
2. Harmonize the care offered by various services at the Montreal Children’s Hospital
3. Reduce the time dedicated to organizing hospital visits and decrease unnecessary travels to the hospital—for example, when possible, plan for multiple medical appointments/tests on the same day
4. Reduce delays in accessing needed care