PT  - JOURNAL ARTICLE
AU  - Murphy, Nancy A.
AU  - Alvey, Justin
AU  - Valentine, Karen J.
AU  - Mann, Kilby
AU  - Wilkes, Jacob
AU  - Clark, Edward B.
TI  - Children With Medical Complexity: The 10-Year Experience of a Single Center
AID  - 10.1542/hpeds.2020-0085
DP  - 2020 Jul 01
TA  - Hospital Pediatrics
PG  - hpeds.2020-0085
4099  - http://hosppeds.aappublications.org/content/early/2020/07/20/hpeds.2020-0085.short
4100  - http://hosppeds.aappublications.org/content/early/2020/07/20/hpeds.2020-0085.full
AB  - Children with medical complexity (CMC) have chronic, multisystem health conditions, substantial health care needs, major functional limitations, and high resource use. They represent <1% of US children yet account for more than one-third of total pediatric health care costs. Health care systems designed for typical children do not meet the unique needs of CMC. In this special article, we describe the experience of our Comprehensive Care Program for CMC in a pediatric tertiary care center, from its launch in 2007 to its present model. We review the literature, describe our collective lessons learned, and offer suggestions for future directions.