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Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners v.32 no.1, 2018년, pp.3 - 9   SCIE SSCI
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The Financial Impact of a Hospital-Based Care Coordination Program for Children With Special Health Care Needs

Petitgout, Janine M.
  • 초록  

    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.


  • 주제어

    Care coordination .   children with special health care needs (CSHCN) .   discharge .   hospital charges .   pediatric tracheostomy.  

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