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Collaborative Consultative Care Coordination Program (4C)

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For questions or appointment
requests, call 413-794-2208
or email

"If it wasn't for the 4C Program's help, my daughter's health would not have improved." - 4C Parent

Having a child with complex health issues can be overwhelming and stressful, and you may find it challenging to manage the information, care, and medical services you need. The Collaborative Consultative Care Coordination Program (4C) was created to help parents and pediatricians coordinate care for the most medically complex children in western Massachusetts. We work with your child's pediatrician and specialists to help ensure that your child receives the best combination of services and supports to meet your family's goals.

A Coordinated Approach to Care

After referral to the program, your initial visit will be comprehensive.  You and your child will meet with your 4C team: a complex care pediatrician, nurse care coordinator, social worker, family navigator, behavioral health specialist and nutritionist.  Our goal is to provide a new model of care delivery with increased communication among providers, improved health outcomes and reduced caregiver stress.

How 4C Works

"I am not an expert in many things, but I am an expert in my child.  Thank you 4C for giving me a care plan and giving me credibility and trust with the doctors." - 4C Parent

  • If your child qualifies for the 4C Program, a social worker and family navigator will offer to visit your home to discuss your goals and to complete 4C paperwork.   
  • 4C program MD and patient
  • During the initial appointment at the clinic, we will get to know you and your child in order to determine how our program can best meet your needs.  We will then develop a plan to achieve the agreed upon goals, and discuss this plan with your child's pediatrician.  
  • Your goals will be included in the Care Plan, a secure "medical passport" that serves as a summary of your child's medical history and includes your child's current medication, sick and emergency treatment guidelines, and contact information for those involved in your child's care. 
  • Your 4C nurse care coordinator will begin to coordinate specialist referrals with your pediatrician's office and your 4C social worker and family navigator will provide support and coordinate needed social services. 
  • One month later,we will meet with you to review your child's completed Care Plan and show you how to access it in your phone or computer. 
  1. We update the Care Plan once a month
  2. We can share the Care Plan with your child's providers - that is up to you
  3. You can share the Care Plan with a new provider or at the hospital
  4. You can communicate directly with us through the Care Plan website
  • We will schedule follow-up visits every 6 months, which will include a physical exam, visits with other members of the 4C team, discussion of family goals and any updates needed to the Care Plan.

About the 4C Program

The 4C Program is a partnership between Boston Medical Center and Baystate Medical Center, and is funded by a three year, $6 million grant from The Center for Medicare and Medicaid Innovation. The impact of the 4C Program will be evaluated to determine if this care model improves child and family health and reduces hospital admissions, emergency room visits, parental stress, and health care costs.

This publication was made possible by Grant Number 1C1CMS331326-01-00 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.


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