The Comprehensive Care Team provides primary care to persons of all ages with Special Health Care Needs. Services include care for both acute illness and urgent medical needs, as well as routine preventive care such as physicals. Scheduling appointments is done through the Comprehensive Care office by secretaries who are familiar with you and your loved ones. An experienced RN is available at all times to answer your questions and concerns. A Registered Dietician is part of the team and is available to assist with nutritional needs both in the clinic as well as via instructional handouts and education.

Specialty Clinics

You do not need to be a patient of Comprehensive Care, or even of the MetroHealth System to be seen in these clinics. We accept referrals from patients themselves, as well as community providers. Following completion of the clinic, a detailed report is sent to each patient, their Public Health Nurse — where applicable — and, if they are not a Comprehensive Care patient, to the patient’s primary care provider.  This report explains all that was done, as well as recommendations from each discipline that evaluated the patient during the clinic. We recommend patient’s be evaluated in this clinic about every 6 months.

• Cerebral Palsy Multidisciplinary Clinic
  This clinic includes a Comprehensive Care Physician, RN Service Coordinator, Pediatric Neurologist, Physical Therapist, Registered Dietician and Liaisons from the Cuyahoga County Board of Developmental Disabilities. This clinic is held several times a month, always on a Friday morning.
• Spina Bifida/Hydrocephalus Multidisciplinary Clinic
  This clinic includes a Comprehensive Care Physician, RN Service Coordinator, Pediatric Neurologist, Genetics Physician and Genetic Counselor, Neurosurgeon, Registered Dietician and Liaisons from the Cuyahoga County Board of Developmental Disabilities. This clinic is held once or twice a month, always on a Friday afternoon.
• Behavior Assessment Clinic
  This clinic is specifically for the evaluation of behavior concerns, including autism. The clinic is a 1:1 appointment with the Comprehensive Care Board Certified in Neurodevelopmental Disabilities and Behavioral Pediatrics physician. It held once a month and generally on a Tuesday afternoon.
• Cranio-facial Clinic
  This clinic provides care for patients with congenital disorders of the head and neck including craniosynotosis, cleft lip and/or palate, and ear or nasal malformations. The clinic includes specialists from plastic surgery, ear, nose and throat (ENT specialists), maxillofacial surgery, dentistry, genetics, audiology and speech therapy. This clinic is held 10 times a year, on a Tuesday afternoon. Related Information: Plastic Surgery, Speech Therapy, Dr. Totonchi
• Care Coordination Program
  This program is an on-going day to day part of Comprehensive Care. Each patient is assigned an RN whom is a go-to person for all questions, concerns and assistance with any issues related to their care.
  
  In addition, while Comprehensive Care sees patients throughout the life span, not all specialists do so, and some transition care to adult providers as the patient turns 21 yrs old. The Care Coordinators can assist with this transition, facilitating an efficient and seamless transfer of care. The Comprehensive Care team can remain the base for care and on-going coordination between all the specialists.