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Indiana University School of Medicine
Indiana University School of Medicine
Pediatrics

Aligned Care Support Network

Goal

The concept for an Aligned Care Support Network evolved through statewide Title V strategic planning with the goal to connect professionals from healthcare and social agencies who work with families around the state so that together they improve access to services and quality of care for children with chronic conditions and their families.

Problem

The most recent Indiana Title V needs assessment indicated that families across Indiana continue to encounter complex, fragmented and duplicative systems of care that leave them overwhelmed, confused and/or ill-informed with unmet needs.

Solution

Participating healthcare and social service professionals will develop skills in collective accountability and cross-systems navigation to “de-silo” care and deliver targeted, efficient, effective outcomes which meet each child’s needs and family’s goals.

Indiana Complex Care Coordination Collaborative is funded through Indiana Title V to deliver the components of the Aligned Care Support Network.

Decorative image of how the goal shows the problem and leads to the solution in a flow chart format

Curriculum

The Aligned Care Support Network Curriculum connects cross-sector professionals working with families across Indiana to improve both access to services and quality of care for children with chronic conditions and families. The network offers two key activities:

  • Didactics with digital badging
  • Communities of practice

Didactic curriculum with digital badging recognizes completion of successive levels of asynchronous virtual training.

  • Decorative image of a purple ribbon that says "Badge" across it.

    Digital badging is used to recognize and validate skills and to provide a verifiable, shareable representation of the participant’s competencies.

    • It is an online representation of an achievement earned as a means of professional development.

    • It is designed for online sharing and verification. Associated metadata details criteria for earning the badge, issuing organization, and skills acquired. 

  • Aligned Care Supports Badging Level 1 will be achieved through viewing of four virtual sessions followed by completion of suggested practice activities.

    • Sessions are hosted on the IU CANVAS learning management system.

    • Participants may request enrollment via ic4@iu.edu.

  • Sessions:

    • Principles of care support, mapping and planning

      • Right person, right time, right place

    • Person and family centered care with authentic, supportive relationships

      • Meet people where they are

    • Individual and contextual impact on care and complexity

      • Have what you need to succeed

    • Teamwork and relationship centered care

      • Working together, working SMARTer

The cross-sector Community of Practice invites participants from healthcare and social service agencies to an opportunity to share and improve services for children, particularly those with chronic conditions, and their families.

  • Each session and topic are offered twice each month to afford broader opportunities for participation.

  • The goals of each session are networking and shared learning with synthesis and problem-solving for real-world applications.

  • Each session is structured to:

    • Welcome participants in sharing updates from their agencies.

    • Deliver a brief didactic by a local expert on the selected topic of interest,

    • Facilitate participatory case discussion to apply the topic into practical professional actions,

    • Highlight available tools in the resource library related to the topic.

Fingertip tools will be accessible to participants in an up-to-date resource library which facilitates navigation of health systems and government and community services, hosted on the IU CANVAS learning management system.

  • Advocacy
  • Ancillary services
  • Cultural/language adaptations
  • Developmental disabilities rehabilitation
  • Education
  • Employment/work
  • Family support and advocacy (natural and formal)
  • Health system navigation
  • Insurance and financing
  • Juvenile and criminal justice
  • Legal
  • Long term care
  • HCBS/waivers
  • Public safety
  • Recreation and community resources
  • Social services
  • Transition to adulthood

List adapted from: Schor E. An Almost Complete List of Services Used by Families and CSHCN. Lucille Packard Foundation, April 3, 2019.

 

Participant directory is upcoming as a means to demonstrate the achievements of individual participants through the Aligned Care Support Network. The directory will be a searchable list by the individual’s name, discipline and agency and include current badging level and their date of last action.