Boston Medical Center, Baystate Health improve pediatric care coordination: 3 results

Boston Medical Center and Springfield, Mass.-based Baystate Health  are working to improve care for children with medical complexities by implementing the Collaborative Consultative Care Coordination Program, called the 4C Project.


The 4C Project was created by the healthcare organizations with, a digital health and care coordination services company. The program focuses on improving the health and quality of life for pediatric patients and their families while reducing costs.


To do so, the program model leverages multidisciplinary care teams — including a complex care pediatrician, child psychiatrist, developmental/behavioral pediatric specialist, clinical social worker, nutritionist, nurse care coordinator and family navigator. The program also uses comprehensive and individualized care plans.


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Ultimately, BMC and Baystate reported the following three results.


1. Enhanced family engagement. Through the program and resources, more than 100 families communicate with care teams, assign and complete tasks, schedule appointments and can update patients' care plan.


2. Improved quality of life. Scores across several quality of life areas — include physical, emotional, social, psychosocial and academic areas — have improved for children and families.


3. Reduced healthcare costs. Early indications and preliminary aggregate claims data show a small subset of patients demonstrate greater than 20 percent cost savings over the course of one year.

"The number of children with complex, long-term medical needs is growing, and many of these children require care and attention 24/7," said Jack Maypole, MD, co-principal investigator and complex care pediatrician at BMC. "This team-based approach with help from's tools leads to improved care, more time at home and in school, less time in the ER or hospital, less family stress and overall savings in healthcare costs."

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