Journal for Specialists in Pediatric Nursing · 2011 · 47 citations · 25 references
NursingChild HealthPediatricsHealth Services ResearchIntegrated CareResource Utilization AnalysisCare CoordinationComplex Care ManagementHospital Resource UtilizationInpatient CareResource Utilization MeasurementService CoordinationAmbulatory Care CoordinationComplex Care NeedsCost Savings AnalysisCost Savings EvaluationHospital Bed UtilizationInpatient Hospital UtilizationPediatric Health Care UtilizationPediatric Healthcare Utilization
PURPOSE: The purpose was to evaluate an ambulatory care coordination program for children with complex care needs. DESIGN AND METHODS: A pre- and postcohort evaluation design was implemented to analyze the impact on hospital utilization. RESULTS: Results included a decrease in emergency department presentations (15%, p < .001), hospital admissions (9%, p < .019), and hospital bed days (43%, p < .001). Economic analysis indicated a cost savings of $A 1.9 million per annum. PRACTICE IMPLICATIONS: Hospital utilization is significantly reduced for children with complex care needs through 24/7 care coordination.
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Children With Complex Chronic Conditions in Inpatient Hospital Settings in the United States
Tamara D. Simon, Jay G. Berry, Chris Feudtner et al. · PEDIATRICS · 2010 · 726 citations · Full text
Increasing Prevalence of Medically Complex Children in US Hospitals
Katherine Burns, Patrick H. Casey, Robert Lyle et al. · PEDIATRICS · 2010 · 421 citations
The Pediatric Alliance for Coordinated Care: Evaluation of a Medical Home Model
Judith S. Palfrey, Lisa A. Sofis, Emily J. Davidson et al. · PEDIATRICS · 2004 · 292 citations