Elizabeth Mann1, Michael Pyevich1, Patrick Ten Eyck2, Thomas Scholz3. 1. Carver College of Medicine, University of Iowa, 220 River Street, Iowa City, IA, 52246, USA. 2. Institute for Clinical and Translational Science, University of Iowa, SW44-M General Hospital, 100 Hawkins Drive, Iowa City, IA, 52242, USA. 3. Department of Pediatrics, Child and Community Health, 247 CDD, 100 Hawkins Drive, Iowa City, IA, 52242, USA. thomas-scholz@uiowa.edu.
Abstract
OBJECTIVES: We assessed how shared plans of care (SPoC), a care coordination tool, impact healthcare utilization of a cohort of children with special healthcare needs (CSHCN) and mental health conditions. METHODS: Data, including emergency department (ED) visits, hospitalizations, and primary care visits, were collected through chart review of CSHCN. A Poisson generalized linear mixed model was used to analyze healthcare utilization data for CSHCN. RESULTS: Our results showed a decrease in primary care visits, hospitalizations, and ED visits for CSHCN after SPoC implementation, though only primary care visits reached significance. Mental health care visits were specifically found to decrease by 39% following employment of SPoC. CONCLUSIONS FOR PRACTICE: The use of SPoCs in CSHCN had a positive impact on healthcare utilization suggesting widespread use of this tool improved care coordination in this population.
OBJECTIVES: We assessed how shared plans of care (SPoC), a care coordination tool, impact healthcare utilization of a cohort of children with special healthcare needs (CSHCN) and mental health conditions. METHODS: Data, including emergency department (ED) visits, hospitalizations, and primary care visits, were collected through chart review of CSHCN. A Poisson generalized linear mixed model was used to analyze healthcare utilization data for CSHCN. RESULTS: Our results showed a decrease in primary care visits, hospitalizations, and ED visits for CSHCN after SPoC implementation, though only primary care visits reached significance. Mental health care visits were specifically found to decrease by 39% following employment of SPoC. CONCLUSIONS FOR PRACTICE: The use of SPoCs in CSHCN had a positive impact on healthcare utilization suggesting widespread use of this tool improved care coordination in this population.
Entities:
Keywords:
Care coordination tool; Children with special healthcare needs; Medical home; Mental health; Shared plans of care
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