The CHQC is dedicated to improving coordination of care for children, and modeling approaches that are applicable to adult care as well. Payers and providers have invested enormous resources to promote Patient Centered Medical Homes and new payment models to support quality improvement, and care coordination is critical to the success of these efforts.

In 2012, the CHQC created the Care Coordination Task Force and charged it with identifying and developing the ways to improve pediatric care coordination for children in Massachusetts. The task force includes broad representation from families, medical and mental health providers, advocacy groups, and public programs.

The task force developed a framework, called the Care Coordination Key Elements Framework, to help those who provide care-related services to children and their families—including health care, behavioral health, and other social services—to identify gaps in those services and systematically address them. The CHQC presented the framework to major insurers (both commercial and managed care organizations that contract with MassHealth), health systems and group practices, and state agency staff working on care coordination issues. To facilitate implementation of the framework, the task force is developing tools for care coordination needs assessment to support providers and families.

Recommendations for components to be included in a structured Care Coordination Strengths and Needs Assessment Tool have also been developed, with an accompanying Tool Template available for adaptation, along with a set of Example Tools.