#ThinkAboutIt 🤔
A system can be filled with competent people and still lack the right expertise for the person it is serving. Imagine a patient with a highly complex cardiac condition being evaluated and managed through a labor-and-delivery framework. The labor-and-delivery professionals may be excellent. They may be highly trained. Their protocols may be evidence-based. Their assessments may be validated. Their procedures may be followed perfectly. But we would immediately recognize the problem. The framework and expertise do not match the patient. That doesn’t make the labor-and-delivery professionals incompetent. It means expertise is not interchangeable. The same principle deserves attention in systems serving people with developmental disabilities. These systems have tremendous expertise in intellectual and developmental disabilities. But some individuals within them also have profound medical complexity—complex neurological injuries, respiratory dependence, autonomic instabili...
