Peds Concurrent Care
At Kaweah Health, our Pediatric Concurrent Care Program is centered on what matters most—your child’s comfort and your family’s well-being.
Our Program
Kaweah Healthʼs pediatric concurrent care program was established in 2018. We are here to support you every step of the way — offering comfort, guidance, and compassionate care for your child and entire family. Our team of professionals and volunteers have special experience in pediatrics and understand the unique needs of children living with serious illnesses.
Working closely with you, your child, and your childʼs doctors, our pediatric medical director and care team design a personalized plan of care that fits your childʼs individual needs. As those needs change, we adjust the plan together — always keeping your childʼs comfort and your familyʼs well-being at the heart of what we do.
Kaweah Healthʼs concurrent care program is centered around the things that matter most — your child, your family, and the love you share.
Our Services
Comprehensive care for children and families, centered on comfort, love, and support.
- Pain and Symptom Management —Gentle relief and comfort.
- Medical Equipment and Medications —Specialized pediatric resources delivered to your home.
- Family-Centered Care — Support for your child and the entire family.
- 24/7 Nurse Access — Compassionate help whenever you need it.
- Physician Services — Expert guidance from our Pediatric Medical Director and care team.
- Social Services — Emotional and practical support for your family.
- Spiritual Care — Comfort and strength through faith and reflection.
- Bereavement Support — Gentle care for families after loss.
Your Care Team
The Kaweah Health care team is made up of compassionate professionals and volunteers who work together to support your child and family with expert, heartfelt care.
- Physicians — Oversee your childʼs medical care and treatment plan.
- Registered Nurses & Licensed Vocational Nurses — Provide hands-on care and comfort.
- Social Workers — Offer emotional support and guidance for your family.
- Chaplains & Spiritual Counselors —Support your familyʼs beliefs and provide spiritual care.
- Certified Hospice Aides — Help with personal care and daily needs.
- Trained Volunteers — Bring companion- ship, comfort, and moments of joy.
Program leadership
Dr. David Sine graduated from McMaster University in 1993 and completed his pediatric residency at UCSD/Rady Childrenʼs Hospital, serving as Chief Resident. He then worked as a Pediatric Hospitalist and led the unification of the pediatric hospice program at Rady Childrenʼs/UCSD and San Diego Hospice, earning the AHA Circle of Life Award in 2002. Dr. Sine has practiced pediatrics since 1996, focusing on medically fragile and special needs children, as well as hospice and palliative care.
What is Concurrent Care?
Concurrent care is a pediatric palliative care program that allows children under age 21 with life-limiting illnesses or conditions to continue to pursue curative treatment and hospitalization while concurrently receiving the specialized support of a hospice team. The team focuses on enhancing the child's quality of life, optimizing functional status, and controlling distressing symptoms, while also providing emotional and spiritual support to the patient and family/caregiver. Under concurrent care, children are able to receive treatments of all types.
Care is provided in the home by an interdisciplinary group (IDG) of professionals including pediatric registered nurses, social workers, spiritual support counselors, hospice aides, physical therapists, occupational therapists, and volunteers. The concurrent care team medical director is a pediatrician with special training in palliative and hospice care.
Collaboration and plan of care
The plan of care is managed by the IDG who develops, in collaboration with the patient and family/caregiver, a plan of care. The IDG also collaborates with the patient's attending physician and any other participating services.
Other Services
Children on the concurrent care program may receive other services in their home. These include services not provided under the palliative care benefit. Some examples include home care/health, respiratory therapy for patients on a ventilator, physical and/or occupational therapy services, and enteral feedings. A licensed vocational nurse (LVN) or registered nurse (RN) may also be provided by a home care agency via Medi-Cal or other state program, separate from hospice services.
