Comp Care Clinic

The Comprehensive Care Clinic employs a medical home model that gives coordinated medical care to children and adults with developmental disabilities. Care is given across a variety of specialties and throughout the patient’s lifespan.

In addition to physicians, nurses and other professionals, the clinic employees nurse care coordinators who work closely with families and their medical providers help to ensure that the patient has a coordinated plan of care and can manage any potential barriers to receiving that care.

Our Patients

The Comp Care Program is designed to help people who have complex medical needs. We see patients with a variety of chronic health problems, including:

• Autism with co-morbid conditions
• Cerebral palsy or abnormal tone evaluation and treatment
• Conduct and behavior concerns with co-morbid conditions
• Craniofacial disorders and disorders of the head, neck, ear, nose and throat, like cleft lip and/or palate and concerns about skull or head shape
• Developmental delays, cognitive delays and intellectual disabilities with co-morbid conditions
• Down syndrome and other genetic disorders
• Hydrocephalus treatment
• Metabolic disorders
• Sickle Cell Disease
• Spina bifida evaluation and management
  
   

Your illness doesn't need to be serious, complicated or overwhelming in order to take advantage of our services. We encourage you to visit us sooner rather than later, so you receive the support you need to manage your chronic condition properly and focus on maintaining your health.

The Comp Care Clinic sees patients of all ages. We often develop long-term relationships with the patients and families we serve. Our patients don’t have to find a new primary care physician just because they have a birthday. When they turn 21, patients transition from pediatric providers to internal medicine providers, staying in the same clinic, staffed by care coordinators they know and trust.

How the Program Works

We cover all aspects of care, from basic physical exams to accessing community services. The management of a chronic health problem takes time and extra care, so we provide longer appointments to truly assess your needs and answer all your questions.

Each patient or family is assigned an RN care coordinator. These professionals spend time getting to know you—and your specific needs—and they work hard to make sure you get the care you need. When your appointments are complete, these professionals can also make sure that you follow through with instructions and prescriptions and connect you to community resources that provide additional help.

A care coordinator is also a go-to resource when questions and concerns come up. Since this person knows the ins and outs of your treatment plan, this professional can answer questions, make appointments and provide support—even in a crisis.

Comp Care Program staff help coordinate appointments with specialists. When you need multiple appointments, we shoot for same-day visits whenever possible.

Specialty Clinics in the Comp Care Program

While coordinated primary care can help you to manage a complex health issue, there may be times when you need just a bit more to keep symptoms under control. Our specialty clinics provide targeted care for those in need.

To visit these clinics, you don't have to be a patient of the Comp Care Program or even a MetroHealth patient. Call to make an appointment, or get a referral from your doctor.

Our Specialty Clinics

Cerebral Palsy Multidisciplinary Clinic. This clinic provides a team evaluation for patients of all ages. The team includes a pediatrician, a pediatric neurologist, rheumatologist/bone health, physical/occupational/speech therapists, dietitians and liaisons from the Cuyahoga County Board of Developmental Disabilities. We provide cerebral palsy specialty clinic twice a month. The clinic is open 1st and 3rd Friday mornings.

Craniofacial Team Clinic. This clinic cares for patients with congenital head and neck disorders. These include craniosynostosis, cleft lip and/or palate and ear or nasal malformations. The American Cleft Palate-Craniofacial Association recognized the clinic as a Certified Center of Excellence. The team includes specialists from Plastic Surgery; Ear, Nose and Throat (ENT); Maxillofacial Surgery; Dentistry; Orthodontics; Developmental Pediatrics/Pediatrics; Genetics; Audiology; Speech and Language therapy and Social Work. Consultations with Psychology and Neurosurgery are also available. This clinic is held 10 times a year on Tuesday afternoons.

Down Syndrome Clinic. This clinic cares for people who have Down Syndrome with other co-morbid conditions and who will need routine screening and regular evaluation. It includes a developmental pediatrician, a pediatrician or internal medicine provider, a social worker, a genetics physician, a registered dietitian and liaisons from the Cuyahoga County Board of Developmental Disabilities. As needed, the clinic also provides access to a pediatric gastroenterologist and a cardiologist.  This clinic is scheduled on the same day as the oropharyngeal dysphagia clinic every 4th Friday mornings.

Oropharyngeal Dysphagia/Tube feeding Clinic.  This once-a-month clinic provides oral and tube feeding evaluation and management of complex issues related to food intake, swallowing concerns, PEG/G-tube/GJ complications. This team includes a Pediatric/adult provider, a dietitian, OT and Speech therapists.  This clinic is scheduled on the same day as Trisomy 21 Clinic every 4th and a Nutrition support/weight check clinic on 5th Friday mornings.

Spina Bifida/Hydrocephalus Multidisciplinary Clinic. This clinic provides Spina Bifida treatment and/or Hydrocephalus treatment once a month. This team includes a Pediatric neurologist, a Pediatrician/Pediatric provider, a Rheumatologist/Bone Health, a dietitian, PT/OT/Speech therapists, a Social Worker, Care coordinators. Consultations with a geneticist are available, and liaisons from the Cuyahoga County Board of Developmental Disabilities. The clinic is open on the 2nd Friday morning of the month.

Expertise in Comprehensive Care

The Comp Care Program was the first of its kind in Ohio. In 2011, it was the first MetroHealth practice to be awarded an NCQA Level 3 Recognition for Excellence of Care (the highest possible level available).

Our Team

• Irene Dietz, MD, FAAP, medical director, board-certified in pediatrics, neurodevelopmental disabilities, developmental and behavioral pediatrics and hospice and palliative care medicine
• Ronald Magliola, MD, FAAP, board-certified in general pediatrics and internal medicine
• Emmanuel Boayke, MD, board-certified in general pediatrics and internal medicine
• Ruth Villarosa, MD, board-certified in General Pediatrics, and Hospice and Palliative Care Medicine
• Margaret Yu, APRN-CNP, Pediatric and Adult provider
• Mary Michelle Duns, APRN-CNP, Pediatric and Adult provider
• Brian Ward, RN, Pediatric Care Coordinator
• Gabrielle Ankney, RN, Comp Care Pediatric Nurse
• Christine Crump, RN, BSN, Supervisor
• Charlotte McAllister, RN, Care coordinator
• Lori Sawchik, RN, Comp Care Adult Nurse
• Calley Kish, LISW, Social Work
• Erin Thomas, RD, LD, Nutrition Services
• Amy Andler, Cuyahoga County Board of Developmental Disabilities Representative
• Shalinda Glenn, Patient Liaison
• Anne Finnin, Patient Liaison

Parent/Caregiver Advisory Group

The Comp Care Program is the leading special needs clinic in Cleveland, but we always have more to learn, and we know that patients, parents and caregivers have unique insights to share. Our Advisory Group works closely with the Comp Care team. The group suggests, evaluates and assists with changes to improve care.

We encourage all patients, parents and caregivers to join the Advisory Group. Your input is valuable.

Do you want to learn more? Contact Calley Kish, LISW, at 216-778-5551.

Appointments

Call 216-778-5198 to schedule a visit at any Comp Care clinic. We're available Monday through Friday, 8 a.m. to 4:30 p.m.

After you schedule your first appointment, a care coordinator will contact you.

• Main Campus Medical Center (in The Specialty Clinic of the Women and Children's Pavilion in the Outpatient Plaza) - daily appointments available
• Middleburg Heights - limited appointments available
• Cleveland Heights - limited appointments available