The Financial Impact of a Hospital-Based Care Coordination Program for Children With Special Health Care Needs.
J Pediatr Health Care
; 32(1): 3-9, 2018.
Article
in En
| MEDLINE
| ID: mdl-28822673
ABSTRACT
Care coordination programs are important in caring for medically complex pediatric patients, particularly for children with special health care needs. This study is a retrospective financial analysis of a hospital-based care coordination program involving one procedural subgroup of children with special health care needs those receiving pediatric tracheostomy. Hospital records were reviewed for patients who received a tracheostomy at a large Midwestern U.S. hospital from 1999 through 2015. The population was divided into two subgroups patients who received a tracheostomy before the development of a care coordination program and patients who received a tracheostomy after enrollment in the care coordination program. Patient records were reviewed for length of stay, readmissions related to respiratory and tracheostomy management, and total hospital charges. Enrollment in a care coordination program for the pediatric tracheostomy patient resulted in a decrease in mean length of stay and reduced hospital charges and a slight increase in readmissions. Further analysis using larger sample sizes and multiple centers is necessary to determine whether such outcomes are the direct result of enrollment in a care coordination program.
Key words
Full text:
1
Collection:
01-internacional
Health context:
11_ODS3_cobertura_universal
/
1_ASSA2030
Database:
MEDLINE
Main subject:
Respiratory Tract Diseases
/
Tracheostomy
/
Patient-Centered Care
/
Continuity of Patient Care
/
Hospitals, Pediatric
/
Length of Stay
Type of study:
Evaluation_studies
/
Health_economic_evaluation
/
Observational_studies
/
Qualitative_research
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
J Pediatr Health Care
Year:
2018
Document type:
Article