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An analysis of workforce gaps, payment models, and policy challenges unique to home health care for children and youth with medical complexity, including legal challenges brought by families because of home nursing shortages. The authors propose a portfolio of solutions to address the current failures, including payment reform, improved coordination of services and pediatric home health training through partnerships with child-focused health systems, telehealth-enabled opportunities to bridge current workforce gaps, and the better alignment of pediatric care with the needs of adult-focused long-term services and supports.

Principal investigator Carolyn Foster, MD, MSHS, presented this work at a briefing event hosted by Health Affairs, and provided the pediatric perspective on community care for high-needs patients. View the recording (1:31:08)