Figure Legends:
Figure 1. Virtual or Sequential Clinical Model for VA-MDC. The
sequential model is best employed when there are institutional or
individual barriers to providing concurrent care. In this model, cases
are triaged by the MDC coordinator after collection of appropriate
medical information. The case is presented at a virtual or in-person
conference with all team members in attendance. Providers then see the
patient individually within their own clinics, and a team consensus is
made following individual provider visits.
Figure 2. Concurrent Clinical Model for VA-MDC. This model
provides the most streamlined approach to multidisciplinary care, with
all providers seeing a patient within the same clinic session. The
multidisciplinary conference is still key to this approach, both in
terms of organizing information ahead of visits, and for providing a
uniform plan after the patient is seen. Depending on availability and
patient specifics, all team members may not need to be present for each
patient visit.
Figure 3. Comparison of Two Vascular Anomalies Programs
Operations. This is an overview comparison between the two
multidisciplinary vascular anomalies programs at Vanderbilt Children’s
Hospital and Children’s Healthcare of Atlanta (CHOA). The Vanderbilt
program is still in the development phases, whereas the CHOA program is
more mature. Each program has defined a unique conference, meeting, and
clinical structure that is in line with the needs and resources
available at each institution. Both programs have outlined strategies
for future growth through quality improvement, research, and patient
advocacy.