UF Health’s Pediatric Care Coordination Program (PCCP) is a family-centered, community-based model for the care of children with special health care needs.
Those enrolled in the PCCP generally have multi system organ disease, technology dependence, and frequent hospitalizations. The premises upon which the program was designed include:
- The home is the best place for a child to heal, to grow, and to develop.
- A pediatrician, providing primary care, is essential, even when the child is seeing many specialists. That pediatrician should have the support of and access to the specialists at the Medical Center.
- The family should have the opportunity to identify their priorities, concerns, and resources in relation to the care of their child.
- The family and the primary care provider should have input on the goals of care. All professionals who are involved with the child should know what those goals are.
- Coordination of care promotes the attainment of those goals, while it increases the satisfaction of the family and professionals involved.
With those premises in mind, the PCCP offers the following:
- Case coordination: A Nurse Case Manager is available to the family and professionals to organize services in the community and in the hospital, if necessary.
- Access to services: A 24 hour phone line is available to the family and professionals. One of the PCCP staff members is always on call and can advise the parent, the home care nurse, or the physician on issues of care.
- Continuity of assessments: Under the standard method of care, professionals may do independent evaluations of the motor abilities, cognitive abilities, speech abilities, or health status of the child without having the proper channels to share it with other professionals. The PCCP ensures that evaluations are shared with the entire team working with the child, and promotes interaction of those team members through periodic meetings and communiqués.
- Preadmission planning and discharge planning: The PCCP staff notifies all services in the hospital of a child's impending scheduled admission. Tests and therapies which can be carried out while the child is hospitalized are scheduled, thus avoiding unnecessary hospitalizations and clinic visits. As a child is discharged, the PCCP arranges for community services and assists homecare staff in devising a care plan.
The PCCP is dedicated to making the lives of children with special health care needs and the lives of their families a little easier
Make a Referral
Criteria for UF Pediatric Care Coordination Program Referral
Physician referral is appropriate if:
- Two or more body systems with significant chronic conditions (significant chronic condition is defined as a physical, mental or developmental condition that can be expected to last at least a year, will use health care resources above the level for a healthy child, require treatment of control of the condition, and the condition can be expected to be episodically or continuously debilitating)
- OR A progressive condition that is associated with deteriorating health with a decreased life expectancy in adulthood
- OR Continuous dependence on technology, or expected, for at least 6 months
- OR Frequent or prolonged hospitalizations and/or Pediatric Emergency room visits
- AND parental willingness for the Pediatric Care Coordination Program to assume primary care of the child
- AND primarily use UF Health Pediatric Specialists for care
- AND must reside within a 60 mile radius from Gainesville
- AND have reliable transportation and a working telephone service
To obtain a copy of your medical records, please complete our online request form or contact our medical records office.
Pay your billconsult our billing section.
Shands hospitals and UF Physician practices accept insurance from numerous providers, including Aetna, Blue Cross Blue Shield of Florida, CIGNA, Humana, Capital Health, United Healthcare, Medicaid, and state and government services. For a full list of accepted plans visit our Insurance / Billing page.
Insurance acceptance varies between physicians and locations and is subject to change. To confirm that a specific physician will accept your insurance, please contact the practice using the telephone numbers listed at the top of the page. A representative will be happy to assist you.
Financial AssistancePatients who lack insurance coverage or are unable to pay their portion of the healthcare services they receive may qualify for financial assistance based upon their income level.
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