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Conditions and services
Coordinating care, fostering communication
We provide a roadmap for you and others involved in your child’s care when there are questions or concerns. Our focus is on your child’s needs and overall well-being.
We help to organize, plan and communicate with others to make sure that you are involved in decision-making and that members of your child’s team are up to date on what’s happening.
Our goal is to make sure you have access to the resources you need to take the best care possible of your child. Our work can help reduce unnecessary emergency department visits and hospitalizations.
Children we support
The UW Health Kids Complex Care Program is for children who:
Have health issues in three or more body systems
See three or more medical or surgical specialists
Have had a hospital stay lasting at least five days or at least 10 medical or surgical subspecialty clinic visits in the last year
Have medical management and care coordination needs
Do not have a specialist or other care program designed to meet their needs
Are beneficiaries of Wisconsin Medicaid (have a Forward Health card)
We personalize care for each child. Our services include:
A comprehensive enrollment visit, where we discuss your child’s medical history and needs and create a shared plan of care for your child
Advocacy for your child’s needs
After-hours response for urgent concerns in the evening or on weekends
A care plan that includes details on responding to unexpected events
Inpatient visits and consultation with care providers if your child is hospitalized
Regular clinic visits twice a year to check in with you and your child
Regular monthly communication with you to make sure your child’s needs are being met
Meet some of our patients
Mary Briggs-Pomo remembers how scary her son’s health was almost from the moment he was born 10 years ago. But thanks to a whole team of pediatric specialists that listened and took her concerns seriously, she has answers and a happy, giggly, cuddly little boy.
Meet our team
Child-centered and parent-focused experts
Our team includes doctors, nurse practitioners, registered nurses, care coordination assistants, registered dieticians and a social worker. They’re experts at working with kids with chronic health issues and technology dependence and know how to navigate the complex health care system. All of them have your child’s best interest at heart and will work closely with you to make sure you are a valued member of your child’s care team.
Caring for kids at American Family Children’s Hospital
The UW Health Kids Complex Care program operates out of American Family Children’s Hospital in Madison, Wis.