Complex Care for Kids Ontario (CCKO)

Launched by THE HOSPITAL FOR SICK CHILDREN · Oct 7, 2016

Keywords

ClinConnect Summary

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Gender

ALL

Eligibility criteria

• Inclusion Criteria (Meets at least ONE criterion from EACH of the following four conditions):
• • Technology dependent and/or users of high intensity care
• • Child is dependent on mechanical ventilators, and/or requires prolonged IV administration of nutritional substances or drugs and/or is to have prolonged dependence on other device-based support. For example: tracheostomy tube care/ artificial airway, suctioning, oxygen support, or tube feeding
• • Child has prolonged dependence on medical devices to compensate for vital bodily functions, and requires daily/ near daily nursing care, e.g., cardiorespiratory monitors; renal dialysis due to kidney failure
• • Fragility
• • The child has severe and/or life-threatening condition
• • Lack of availability and/or failure of equipment/technology or treatment places the child at immediate risk resulting in a negative health outcome
• • Short-term changes in the child's health status (e.g., an intercurrent illness) put them at immediate serious health risk
• • Chronicity
• • The child's condition is expected to last at least six more months
• • The child's life expectancy is less than six months
• • Complexity
• • Involvement of at least five healthcare practitioners/ teams and healthcare services are delivered in at least three of the following locations: Home, School/Nursing school, Hospital, Children's Treatment Centre, Community-based clinic (e.g. doctor's office), Other (at clinician's discretion)
• Exclusion Criteria:
• • High Utilization of hospital level care
• • ≥ 3 hospitalizations, ≥ 2 ICU admissions, ≥ 30 days of total hospitalization in previous 3 months, excluding newborn admission
• • Patient with tracheostomy and home ventilation
• • Medical Status is deemed highly fragile and the need for close follow-up is deemed essential by both referring and triaging team
• • Already followed by a complex care team
• • \>16.0 years of age
• • Inadequate English language skills to comprehend study questionnaires