Lurie Children’s Health Partners Care Coordination, LLC (LCHPCC), is a model of care that is responsible for the provision and coordination of all aspects of health care for individuals with complex, chronic conditions. The Medical Home is at the core of the care coordination model of care.
Our Care Coordinators (CC) work very closely with providers. When a member enrolls in LCHPCC, the CC will develop an Individualized Care Plan (ICP) that will be signed by the member and sent to their Primary Care Provider (PCP). This ICP will include goals that the member’s identified along with their current medical and behavioral health status. This ICP plan will be reviewed by the CC every 30 days and updated whenever there is a change in the member’s condition. The CC will work with the member’s PCP to ensure they receive an updated ICP and are regularly updated on the health of their patient(s).
The role of the provider is to work with the CC to ensure the integration of the member’s medical and behavioral health. This will involve the participation in the Interdisciplinary Care Team (ICT) for patient’s enrolled in LCHPCC. The ICT is designed to support high-risk members through frequent contact with the member, their CC, their PCP, and anyone else involved in the health care of the member. ICT meetings will occur at least once every 90 days, more often if necessary.
If a patient is enrolled in LCHPCC, a CC will send an introductory letter to the provider and review their role as the CC and the role of the provider. Meetings will be scheduled by the CC and will involve both the member and the provider. If you have any questions or have been contacted by a CC, please call the main LCHPCC line at 312.227.7700.
Expected outcomes of the care coordination program include:
Improved coordination of care
Better health outcomes
Improved quality of life for enrollees and their families
A reduction of avoidable hospitalizations and readmissions
Greater emphasis on disease prevention and management of chronic conditions
Improved access to medically necessary specialty care
Promotion of healthy behaviors through outreach and education
Increased personal responsibility and improved self-management among members