BACKGROUND Children with complex health needs (CCHN) have intersecting medical, behavioral health, and social needs. Unfortunately, fragmentation across health and social services sectors often results in uncoordinated care for CCHN and their families. OBJECTIVE The purpose of this article is to describe the creation of a statewide cross-sector partnership, the Children's Complex Care Coalition of North Carolina, to identify and act on opportunities for system-level improvements in the care of CCHN. METHODS We applied a virtual community engagement approach to form an advisory committee of cross-sector collaborators; systematically identify priorities most important and urgent to collaborators for improving systems of care; and host a series of virtual convenings involving more than 90 attendees from across the state to operationalize collaborator-identified priorities into actionable next steps. LESSONS LEARNED Key facilitators of success for the Children's Complex Care Coalition of North Carolina partnership were investing time in building trusting relationships, particularly with families of CCHN, and aligning goals and priorities with existing local and regional efforts. Challenges included incorporating traditionally under-represented perspectives, right-sizing virtual convening attendance and number of topics covered, and navigating technological difficulties in a virtual environment. CONCLUSIONS Health systems can catalyze the formation of cross-sector coalitions and community partnerships to advance complex care. Virtual convenings with interactive activities and participatory structures can be an efficient medium to connect coalition members and elicit actionable recommendations for system-level improvements that address the needs of community members.

中文翻译：

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促进跨部门合作：虚拟儿科复杂护理联盟的经验教训。

背景技术具有复杂健康需求的儿童（CCHN）具有交叉的医疗、行为健康和社会需求。不幸的是，卫生和社会服务部门的分散常常导致 CCHN 及其家人的护理不协调。目标 本文的目的是描述全州跨部门合作伙伴关系（北卡罗来纳州儿童复杂护理联盟）的创建，以确定 CCHN 护理系统级改进的机会并采取行动。方法我们采用虚拟社区参与方法，组建了一个由跨部门合作者组成的咨询委员会；系统地确定对合作者来说最重要和最紧迫的优先事项，以改善护理系统；并举办一系列虚拟会议，有来自全州的 90 多名与会者参加，将合作者确定的优先事项落实为可操作的后续步骤。经验教训 北卡罗来纳州儿童复杂护理联盟合作伙伴关系成功的关键促进因素是投入时间建立信任关系，特别是与 CCHN 家庭的信任关系，并将目标和优先事项与现有的当地和区域努力保持一致。挑战包括纳入传统上代表性不足的观点、调整虚拟会议出席人数和涵盖的主题数量，以及解决虚拟环境中的技术难题。结论 卫生系统可以促进跨部门联盟和社区伙伴关系的形成，以推进复杂的护理。具有互动活动和参与结构的虚拟会议可以成为联系联盟成员的有效媒介，并为满足社区成员需求的系统级改进提出可行的建议。