Obama era grants were filled with the hopes of developing and implementing measures to improve healthcare delivery. Springfield Pediatrician Matt Sadof will present his experience as one of the Principal Investigators for the Massachusetts Alliance for Coordinated Care, a care coordination for children with medical complexity and social fragility funded by Center for Medicaid and Medicare Innovation at two urban centers in Massachusetts Baystate Children’s Hospital and Boston University Medical Center. As a consultative program it supported improved communication between primary care providers and specialists at two geographic locations across the state. Relying on an ambulatory ICU (complex care physician, nurse care coordinators, nutritionists, developmental specialists, social workers and family navigator) it identified and developed systems that would streamline acquisition of services and equipment and housing that would improve the lives of families and decrease morbidity and cost in medically and, long term care costs and increased home care costs.

ACO and CHIP uncertainty had lead organizations, state and private insurers reluctant to commit. By paying attention to processes and emphasizing data important to each of their local environments they have been able to transform these programs into functioning programs designed to improve care.