Overview
The Practice Collaboration Pillar advances care models that strengthen the primary–specialty interface and improve access to pediatric subspecialty services.
This work aligns with 2023 NASEM Future Pediatric Subspeciality Workforce recommendations to support innovation in pediatric referral and care coordination processes and reflects the PWI goal to promote care models that ensure timely and equitable access to pediatric subspecialty care.
At this stage, the focus is on better understanding how pediatric departments are using tools such as eConsults and identifying novel models that address common access challenges. Through surveys, interviews, and peer exchange, we raise awareness of emerging practices, connect departments with shared interests, and support those seeking to learn from and potentially adopt successful approaches.
Access to pediatric subspecialty care is often limited, delayed, and geographically constrained.
- Many regions face subspecialty shortages and extended referral timelines
- Workforce constraints limit in-person consultation capacity
- Fragmented coordination between primary care and subspecialists reduces efficiency
Without innovation and collaboration, these challenges will continue to place strain on families and the pediatric workforce alike.
Our Approach
We prioritize practical strategies that departments can implement within their local context and capacity, including eConsult models, embedded care arrangements, and other approaches to shared care.
Through surveys, structured interviews, and cross-institutional exchange, we identify emerging practices, surface implementation considerations, and share lessons learned across diverse institutional settings.
As departments adopt and refine these models, pediatric leaders are better positioned to improve access, strengthen coordination, and align innovative care delivery with sustainable payment strategies.