Clinical Care - Quality of Care - Increase coordination of care

Children's Hospice International Program for All-Inclusive Care for Children® and their Families

Health Factors:	Quality of Care
Decision Makers:	Healthcare Organizations
Evidence Rating:	Insufficient Evidence
Population Reach:	1-9% of WI's population
Impact on Disparities:	No impact on disparities likely

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Description

According to its web site, a CHI PACC® program provides a continuum of care for children and their families from time of diagnosis, with hope for a cure, through bereavement if a cure is not attained. CHI PACC provides care in the most appropriate setting based on family choice, rather than the funding stream.

Expected Beneficial Outcomes

Families do not need to choose between hospice and palliative care

Evidence of Effectiveness

No evidence found.

Implementation Examples

United States

CHI PACC® programs are in place in Colorado and Florida. Children's Hospice International (CHI) is working with states and providers in California, Illinois, Kentucky, New Jersey, New York, New England, North Dakota, and the US Department of Defense.

Wisconsin

The Jane B. Pettit Pain and Palliative Care Center at the Children's Hospital of Wisconsin, Milwaukee is a program similar to CHI PACC.

Comments from Users about this Policy/Program (Cost, Feasibility, Lessons Learned)

No comments

Health Factors

Health Behaviors

Tobacco Use

Diet & Exercise

Alcohol Use

Sexual Activity

Clinical Care

Access to Care

Quality of Care

Social & Economic Factors

Education

Employment
Income

Income

Family & Social Support

Community Safety

Physical Environment

Environmental Quality

Built Environment

Decision Makers

Businesses & Employers

Community Organizations

Government - Local

Government - State

Government - Federal

Healthcare Organizations

Individuals

Schools

Evidence Rating

Level of effectiveness based on a scan of academic literature and key recommendations of leading organizations.

Scientifically Supported Numerous studies or systematic review(s) with positive results
Some Evidence Research suggests positive impacts; further study may be warranted
Expert Opinion Recommended by credible groups*; research evidence limited
Insufficient Evidence Evidence limited or unavailable; further study warranted
Mixed Evidence Evidence mixed; further study warranted
Evidence of Ineffectiveness Research consistently shows program is detrimental or has no effect

Although many policies and programs are recommended by credible groups, we apply the rating ‘expert opinion’ only when policies are recommended but limited scientific evidence of effectiveness is available.

* The American Heritage Dictionary defines credible as 'capable of being believed; plausible.' and 'worthy of confidence; reliable.' To be considered an 'expert recommendation,' policies and programs must be recommended by one or more organizations that are recognized for their impartial expertise in the area of interest and have limited evidence available.

Potential Population Reach

Portion of Wisconsin's population likely to be reached by a policy or program if implemented statewide, based on its characteristics (e.g., target population(s), geographic limitations, and potential implementers).

	<1%			20-49%
	1-9%			50-99%
	10-19%			100%

Potential Population Reach

	<1%			20-49%
	1-9%			50-99%
	10-19%			100%

Potential Impact on Health Disparities

Likely impact of a given policy or program on racial/ethnic, socioeconomic, geographic or other disparities in Wisconsin based on its characteristics (e.g., target audience, mode of delivery, etc.) and best available evidence related to disparities.

Likely to decrease disparities
No impact on disparities likely
Likely to increase disparities