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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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February 2021 List
Text
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Citation List Month
February 2021 List
URL Address
<a href="http://doi.org/10.1097/mlr.0000000000001388" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/mlr.0000000000001388</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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A Tertiary Care-based Complex Care Program: Improving Care for Children With Medical Complexity
Publisher
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Medical Care
Date
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2020
Subject
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Infant; Child; Humans; Child Preschool; Infant Newborn; Length of Stay; Caregivers/psychology; Patient Care Team/organization & administration; Patient Acceptance of Health Care/statistics & numerical data; Hospitalization/statistics & numerical data; Emergency Service Hospital/statistics & numerical data; Patient Satisfaction; Quality Improvement/organization & administration; Case Management/organization & administration; Multiple Chronic Conditions/therapy; Tertiary Healthcare/economics/organization & administration
Creator
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Hogan AK; Galligan MM; Stack NJ; Leach KF; Aredas BL; English R; Dye M; Rubin D
Description
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OBJECTIVE: Children with medical complexity (CMC) have significant health care costs, but they also experience substantial unmet health care needs, hospitalizations, and medical errors. Their parents often report psychosocial stressors and poor care satisfaction. Complex care programs can improve the care for CMC. At our tertiary care institution, we developed a consultative complex care program to improve the quality and cost of care for CMC and to improve the experience of care for patients and families. METHODS: To address the needs of CMC at our institution, we developed the Compass Care Program, a consultative complex care program across inpatient and outpatient settings. Utilization data [hospital admissions per patient month; length of stay per admission; hospital days per patient month; emergency department (ED) visits per patient month; and institutional charges per patient month] and caregiver satisfaction data (obtained via paper survey at outpatient visits) were tracked over the period of participation in the program and compared preenrollment and postenrollment for program participants. RESULTS: Participants had significant decreases in hospital admissions per patient month, length of stay per admission, hospital days per patient month, and charges per patient month following enrollment (P<0.01) without a tandem increase in readmissions within 7 days of discharge. There was no statistically significant difference in ED visits. Caregiver satisfaction scores improved in all domains. CONCLUSION: Participation in a consultative complex care program can improve utilization patterns and cost of care for CMC, as well as experience of care for patients and families.
Identifier
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<a href="http://doi.org/10.1097/mlr.0000000000001388" target="_blank" rel="noreferrer noopener">10.1097/mlr.0000000000001388</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
Aredas BL
Caregivers/psychology
Case Management/organization & administration
Child
Child Preschool
Dye M
Emergency Service Hospital/statistics & numerical data
English R
February 2021 List
Galligan MM
Hogan AK
Hospitalization/statistics & numerical data
Humans
Infant
Infant Newborn
Leach KF
Length Of Stay
Medical Care
Multiple Chronic Conditions/therapy
Patient Acceptance Of Health Care/statistics & Numerical Data
Patient Care Team/organization & administration
Patient Satisfaction
Quality Improvement/organization & administration
Rubin D
Stack NJ
Tertiary Healthcare/economics/organization & administration