About us banner "working to improve care for populations with complex needs in Indiana"

Who we are

The Indiana Complex Care Coordination Collaborative (IC4) is a virtual coaching program and technical assistance center for primary care teams with embedded nurse care coordinators. We work to improve care for targeted populations of patients who are at particular risk for care disparities and unmet needs. IC4's current focus addresses populations of children with medical complexity and adults with intellectual or developmental disabilities.

  • Children with medical complexity are defined as children with chronic conditions involving 3 organ systems and requiring at least 3 subspecialists to provide for their care.
  • Adults with intellectual and developmental disabilities are defined primarily as adults served by home and community services through the Bureau of Disabilities Services.

IC4 is an innovative program built within Indiana University School of Medicine in the Department of Pediatrics' Division of General and Community Pediatrics. We are an interdisciplinary team of patient and family representatives, nurses, social workers and doctors working together with Indiana Medicaid, Title V Children with Special Health Care Services (CSHCS), The Bureau of Disabilities Services (BDS) and community partners.

Our work is made possible by the Indiana Family and Social Services Administration with funding from Section 9817 of the American Rescue Plan Act as a Home and Community Based Services (HCBS) Stabilization Grant.

Read More about IC4

Our Vision

Our vision is to improve opportunities for the patients and families we serve to live their best lives.

The U.S. Surgeon General brought attention to the need to improve care for patients with disabilities in 2005, almost 20 years ago. There are ongoing significant needs to promote and advance this call to action. Across all abilities, each person must be able to:

  • Maintain a healthy lifestyle to live their best lives;
  • Receive needed health care and support services; and,
  • Have care which addresses the whole person with dignity.

Read more at CDC Health and Disability: https://www.cdc.gov/disability-and-health/

IC4 Values

Person and family-centered care

All our work is done in collaboration with important partners:

A comprehensive and life-course perspective

Care coordination supports the use of the LifeCourse Nexus "Charting the LifeCourse" framework. 

The goal is to help individuals with disabilities at any age:

  • Develop a vision for a good life.
  • Think about what they need to know and do.
  • Identify how to find or develop supports, and
  • Discover what it takes to live the lives they want to live.

Community-based services

IC4 currently works around the state in primary care offices in private practices and health systems, including to date:

  • Ascension,
  • Eskenazi,
  • IU,
  • Johnson Memorial,
  • Parkview,
  • Major Health Partners, and
  • Witham.

We continue to work to grow in communities around the state.

pillars of training

How we work

IC4 builds and delivers curricula to train nurses, clinicians and their teams to provide better and easier care for patients who have complex needs.