The Influence of Care Coordination on Patients With Special Health Care Needs in a Pediatric Residency Continuity Clinic

Author:

Moeenuddin Zohra1ORCID,Kim-Kupfer Caroline2,Owchar Erica1,Baker Joshua1,Duffield Amy1,Santoro Thomas1

Affiliation:

1. University of Illinois at Peoria, IL, USA

2. St. Joseph’s Hospital, Phoenix, AZ, USA

Abstract

This study evaluates the influence of comprehensive health care coordination for children with special health care needs (CSHCN) in a resident continuity clinic. CSHCN patients were identified from 2 resident continuity panels. Patients were eligible with a score of 2 or greater on the CSHCN screener. Interventions included extended appointment times, a binder, and direct phone access to the social worker who facilitated follow-up appointment scheduling. Data measured included completed and no-show visits for primary care and subspecialty appointments, hospitalization and emergency department visits, use of binders, and parent satisfaction surveys. Patients with a baseline CSHCN screener score ≥4 were 15.6 times more likely to keep their appointment after enrollment ( P = .0035). Mental health no-show visits decreased significantly ( P < .0001). The utilization of components of comprehensive team-based care coordination, even with limited resources, can improve the delivery of health care for children with complex medical needs and mental health disorders in a resident-based clinic.

Publisher

SAGE Publications

Subject

Pediatrics,Pediatrics, Perinatology, and Child Health

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