Whether your child is at home or has been admitted to the hospital, our team is available as a resource to you.

Outpatient care coordination

At least twice a year, your child will come in for an appointment with the Compass Care team. During this appointment we will:

• Talk about your child’s health and health care goals
• Ask about important updates or changes in your child’s health
• Make sure we are aware of any recent hospitalizations or emergency department visits
• Discuss who is managing different aspects of your child’s care
• Go over any other questions or concerns you have

During these visits, we will help you prioritize your child’s healthcare needs. Following these visits, we can set up appointments with specialists at CHOP, assist with homecare needs, and identify additional resources that your child may need.

These outpatient clinic visits keep us up-to-date on your child’s current needs so that we can help coordinate care among your child’s providers. Our team does not offer primary care services, but provides resources and consultation to improve your overall experience.

During our outpatient clinic visits, our team will work with you to develop a comprehensive care plan. This will offer all providers on the care team a full picture of your child’s current medical issues and problems, who is handling each one, and a clear road-map for your child’s care and follow-up plans.

Inpatient care coordination

If your child is hospitalized at CHOP, the Compass Care team will provide consultation during your child’s stay. We will work with the team caring for your child to make sure everyone has the most accurate, up-to-date information about your child’s health.

Our focus on the big picture gives us a clear view of factors that may be contributing to  the current hospitalization and other issues that might need to be considered.

Transitioning your child’s care from hospital to home can be a particularly vulnerable time for patients. The Compass Care team also works with families and physicians to create a smooth transition out of the hospital.

A nurse care manager will contact your family after discharge to make sure the transition home is going smoothly and address any concerns.