In September 2021, Boston Children’s Hospital Department of Accountable Care and Clinical Integration, in collaboration with the AAP, fielded a “Call for Promising Practices” to identify promising practices in use of telehealth for care coordination for CYSHCN. Seven submissions were received in total. The information below highlights key lessons learned from submitted promising practices.


Promising Practice Spotlight:

Practices that leveraged telehealth for care coordination services reported an increased ability to develop a shared plan of care, in close collaboration and partnership with families. Families no longer needed to travel to participate in shared plan of care meetings and could engage from the comfort of their homes. For more information on how telehealth can be leveraged to support care coordination, view these use cases. 


Background Information:

  • The majority of submissions were from academic health centers, hospital owned practices, and group practices.
  • The majority of practices cared for Medicaid beneficiaries in urban areas.
  • Practices provided a variety of services, including primary care, behavioral health, subspecialty care, developmental services, care coordination for patients with complex needs, urgent care, hospice and palliative care, and social services.
  • The percentage of total telehealth visits varied per practice (ranging from 0 – 81% and above) at the time of application, as well as over the last 18 months.
  • The most common telehealth technologies used by practices were secure video, telephone, email, and portal-based messaging.
  • Telehealth was used for the following visit types:
    • Well-child visits.
    • Acute/urgent care.
    • Chronic care management.
    • Care coordination.
    • Interdisciplinary team meetings.
    • Synchronous and asynchronous remote monitoring.
    • E-consultations (provider to provider, patient to provider).
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American Academy of Pediatrics