The Financial Impact of a Hospital-Based Care Coordination Program for Children With Special Health Care Needs
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. Highlights In a hospital-based care coordination program involving one procedural subgroup of CSHCN, pediatric tracheostomy was shown retrospectively to have the following advantages: A decreased LOS was shown for patients who were enrolled in a care coordination program. A financial savings to the institution was obtained for pediatric tracheostomy patients.
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