Co-management Letter or Agreement

Co-management letters or agreements are intended to help define communications and coordinate the work and roles among primary care providers, specialists, and patients and their families. These communications specify a child’s diagnosis, tests or studies needed, and the explicit responsibilities of each clinician and of their shared pediatric patients and their families. They also spell out the parameters and details of how timely consultative information and feedback will be provided.

Co-management agreements make clear what activities will occur at the level of primary care and specialty care as well as the duration or period that co-management is desired or requested (short-term, long-term, indefinitely). They help set up explicit processes for exchanges among family approved/named communicating partners.