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Table 1 Eligibility criteria for Care Coordination enrollment and three-tiered classification of complexity of coordination

From: Significant reductions in tertiary hospital encounters and less travel for families after implementation of Paediatric Care Coordination in Australia

 Children aged 0–19 years who were patients of the SCHN and:
  1. Had complex needs, involving multiple health care providers and health services
  2. There was no designated key person already coordinating care within a multidisciplinary team
  3. There was potential to facilitate a more coordinated approach to the patient’s healthcare needs, in particular for patients who frequently used hospitals services including:
   a) More than 4 ED presentations within 12 months;
   b) More than 14 days length of stay for any hospitals admission;
   c) More than 10 outpatient appointments within the last 12 months;
   d) Infants who were medically fragile and identified as being at risk of significant future hospital utilization.
Care coordination complexity levels:
• Tier-1: Integration with primary care only
• Tier-2: Requires integration and shared care plan +/− primary care
• Tier-3: Chronic/complex care coordination among tertiary, local health district and primary care