Defining criteria	Critical			Moderate			Not important
The provision of care for the patient and family is developed, documented, regularly reviewed, and revised by the IDT, with the wishes of the patient and family and outcome goals clearly defined and consensually agreed upon.	1	2	3	4	5	6	7
The IDT provides continuity of care and helps to join other medical providers in delivering the best care for each patient and family, with emphasis on maximizing patient's goals and advocating for the patient's/family's well-being in context of complex medical systems.	1	2	3	4	5	6	7
The IDT coordinates all services that the patient and family need during the HBHPC experience, which may include coordination of DME, medications, school needs, private duty nursing, etc.	1	2	3	4	5	6	7
The IDT will maintain regular high-quality communication among medical providers and assist in interpretation of multiple consultant perspectives.	1	2	3	4	5	6	7