BACKGROUND Children with chronic conditions have unmet health needs. Coordinated Healthcare for Complex Kids (CHECK) is a demonstration project with aims to improve health outcomes using an innovative approach to community-based health care. OBJECTIVE We describe the development and implementation of a community-based medical neighborhood (CBMN). METHODS The CHECK CBMN used several novel approaches to partner with clinical and community organizations, including care coordination software, advisory board participation, and an external social service referral database (SSRD). RESULTS The CHECK CBMN executed 25 formal partnership agreements. We hosted 15 advisory board meetings, participated in 43 community events, and made 1,443 community-based social service referrals. We provided 43 trainings on pediatric chronic conditions and participated in four community in-service trainings. CONCLUSIONS The CHECK CBMN contributes to the understanding of how innovative processes and collaboration can improve care coordination for children with chronic conditions through community and clinical partnerships.

中文翻译：

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为患有慢性疾病的儿童开发以社区为基础的医疗社区。

背景技术患有慢性疾病的儿童的健康需求尚未得到满足。复杂儿童协调医疗（CHECK）是一个示范项目，旨在通过采用创新的社区医疗保健方法来改善健康状况。目的我们描述基于社区的医疗社区（CBMN）的开发和实施。方法CHECK CBMN使用了几种新颖的方法与临床和社区组织合作，包括护理协调软件，咨询委员会的参与以​​及外部社会服务推荐数据库（SSRD）。结果CHECK CBMN执行了25个正式的合伙协议。我们举办了15次咨询委员会会议，参加了43项社区活动，并转介了1,443个基于社区的社会服务。我们提供了43项关于小儿慢性病的培训，并参加了四项社区在职培训。结论CHECK CBMN有助于了解创新过程和协作如何通过社区和临床合作伙伴关系改善慢性病患儿的护理协调。