The Comprehensive Care Program delivers high quality, coordinated and family-centered pediatric health care for children with complex chronic conditions associated with disabilities, technology dependencies, multiple subspecialists, and frequent hospitalizations. Team-based care includes complex care coordination, co-management with specialists, and education and advocacy for each child and family.
Who is served by the Comprehensive Care Program?
Children between the ages of 0 and 21 years with complex chronic conditions associated with disabilities and:
- Medical complexity as demonstrated by fewer than three organ systems affected and greater than three physicians involved in their care
- Medical fragility with frequent and/or prolonged hospitalizations
- Technology-dependencies (including ventilators, tracheostomies, feeding tubes, intrathecal baclofen pumps, others)
- Psychosocial complexity
Children served often have conditions related to prematurity, congenital anomalies, genetic syndromes, cerebral palsy, brain injuries, spinal cord injuries, neuromuscular disorders, and functional limitations requiring adaptive equipment.
Schedule an Appointment 801-213-3599
Urgent After-Hours Calls 801-662-1000
(Request the Comprehensive Care Provider on Call)
What services are provided?
The Comprehensive Care Program provides a variety of services, including:
- outpatient assessment, medical management, and care coordination services, at the request of and in collaboration with primary care providers
- inpatient consultation for children with complex management and disposition issues, in collaboration with PCPs, subspecialists, hospitalists, and discharge planners
- inpatient consultations with interdisciplinary care conferencing as needed
- education for parents and providers, including links to community and web-based resources
- coordination of referrals and medical appointments as needed
- advocacy with insurers, schools and community services
- integration of pediatric care across the continuum, including care at home, in the community, hospitals, and congregate care settings
- assistance with decisions related to children with life-limiting conditions
- guidance with transition and guardianship issues as children approach adulthood
How do I contact the Comprehensive Care Clinic?
For appointments at Eccles Outpatient Services Building at Primary Children's Hospital and/or Riverton Clinic: 801-213-3599, (Mon-Fri, 8 am-5 pm). Choose option for scheduling or medical questions, then option for Comprehensive Care.
For urgent after hours medical questions, contact the Primary Children’s Hospital operator at 801-662-1000 and request to speak to the Comprehensive Care Provider on call.
Sarah Butts, PA-C
Certified Physician's Assistant
Caroline Hagedorn, RN, PNP, MSN
Pediatric Nurse Practitioner
Catherine Nelson, MSN Ed, RN, CCM, ACM
Pediatric Continuum Care Manager
Kecia Lesuma, RN, BSN
Clinical Nurse Coordinator
Gloria Wingenbach, LCSW
Medical Social Work
Debbie Davis, LCSW
Medical Social Work
Roland Oliver, LCSW
Medical Social Work
Prescription Refill/Request Fax Number: 801-581-3899
For all other faxes: 801-587-7539
Dr. Alvey received his medical degree from Washington University School of Medicine in St. Louis, MO. He completed his Pediatric residency at Primary Children’s Hospital/ University of Utah School of Medicine. Dr. Alvey is an experienced general pediatrician who practiced in the community for over 15 years prior to joining the Faculty at the Univ... Read More
Sarah Butts is a Physician Assistant (PA-C) who completed her graduate training at Tufts University School of Medicine in 2015. She completed her post-baccalaureate premedical coursework at Johns Hopkins University having first received a BA in Anthropology from Washington University in St. Louis, with a minor in Spanish. Sarah has a strong researc... Read More
|Eccles Primary Children’s Outpatient Services Building||801-213-3599|
Shane Dangerfield, M.D. is an Assistant Professor of Pediatrics at the University of Utah where he serves as a Pediatric Physical Medicine and Rehabilitation specialist in the Comprehensive Care Program. Dr. Dangerfield received his undergraduate education in Biochemistry at the University of Utah and his Medical Degree from Wayne State University... Read More
General Pediatrics, Pediatric Rehabilitation
|Eccles Primary Children’s Outpatient Services Building
Pediatric Comprehensive Care Clinic
|PCH Outpatient Services at Riverton|
Caroline Hagedorn, RN, CPNP graduated from Vanderbilt School of Nursing in 2009. She entered into her first position as a Pediatric Nurse Practitioner shortly after graduation and remains a part of the Department of Pediatrics/ Division of General Pediatrics. Since joining the Department in 2009, she has worked closely with Dr. Murphy both at Sout... Read More
A location has not yet been added by this physician.
Nancy Murphy, MD, FAAP, FAAPMR is a Professor of Pediatrics, Chief of the Division of Pediatric Physical Medicine and Rehabilitation and Adjunct Faculty in the Department of Physical Medicine and Rehabilitation at the University of Utah School of Medicine. Since joining the faculty in 2001, she has been the Medical Director of the Pediatric Transi... Read More