Pediatric Advanced Comprehensive Care Team (PACT)

The Nicklaus Children's Hospital Pediatric Advanced Comprehensive Care Team (PACT) is committed to providing coordinated care and comfort for children with life-limiting or life-threatening conditions, and their families. The care team, comprised of many specialists, supports the treatment of underlying illnesses while striving for optimal quality of life. We do this through a family directed approach that offers hope and support to the entire family. 

PACT Principles

Members of the PACT team are committed to:
    • Striving for optimal quality of life for children and their families
    • Respecting the dignity of patients and families
    • Minimizing pain, discomfort and suffering
    • Providing competent and compassionate care
    • Promoting professional, social, spiritual and financial guidance 


The purpose of the PACT program is to enhance the quality of life for patients with advanced illness and their families by:
  • Developing a plan of care coordinated with the family and primary healthcare team. Goals are individualized to meet patient/family needs, strengths and limitations
    Utilizing a holistic approach to assess the patient and family, including cultural, spiritual and psychosocial needs
    Involving and educating patients and families in care, treatment and services available
    Continuously assessing for the presence of pain and other symptoms
    Providing treatment to relieve pain and symptoms
    Ensuring that comfort and dignity are optimized during all care provided
    Collaborating with other disciplines as appropriate to patient and family needs

The Team

PACT can assist families of children with acute or complex chronic health issues- Image of nurse with girl holding teddy bear
The PACT team is composed of: 
  • Physicians
  • Nurses
  • Pain Management Specialists
  • Pastoral Care Specialists
  • Child Life Specialist
  • Social Workers
  • Psychologist/Psychiatrists
  • Rehabilitative Therapists
Together these specialist support the family with:
  •  Community services
  • Durable medical supplies
  • Home healthcare
  • Pharmacy supplies
  • Physical, occupational and speech therapies
  • Respite services
  • Bereavement services
  • Sibling support
  • Pastoral care

Questions & Answers

Is the PACT program another name for hospice?

No, the PACT team is not limited to end-of-life care. PACT can assist families of children with acute or complex chronic health issues. PACT services can be provided at the same time as curative treatment.

Does insurance cover PACT team services?

Most insurance plans cover all or part of the PACT team services. If costs are a concern, please speak with one of our social workers.

Do I have to change doctors?

No, the PACT team works with your primary care doctor and the specialists involved in your child’s treatment.

Services Available from PACT

Services offered through the PACT program include:
  • Coordinating a comprehensive plan of care with primary healthcare team

  • Discussing important aspects of quality of life for children and families

  • Assessing for the presence of pain and other symptoms and providing treatment

  • Providing families and children with information regarding support resources available

  • Discussing life choices with families and children

  • Assisting with durable medical supplies, home healthcare, community programs and services

For more information about the PACT program at Nicklaus Children's Hospital:

Call 305-666-6511, ext. 7228 (PACT) or 877-261-7228 E-mail:

Contact Critical Care

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A recent quality-of-care assessment of the Pediatric Intensive Care Unit (PICU) at Nicklaus Children's conducted by the National Association of Children's Hospitals compares patient outcomes with results obtained from similar intensive care units around the country. Nicklaus Children's PICU was ranked excellent, the number one unit in the study, due principally to better than predicted results obtained in caring for the highest risk patients.