Luz Adriana Matiz1, Connie Kostacos2, Laura Robbins-Milne3, Steven J Chang4, John C Rausch5, Abdul Tariq6. 1. Department of Pediatrics/Division of Child and Adolescent Health, Columbia University Irving Medical Center, United States of America. Electronic address: lam2048@columbia.edu. 2. Department of Pediatrics/Division of Child and Adolescent Health, Columbia University Irving Medical Center, United States of America. Electronic address: chk11@columbia.edu. 3. Department of Pediatrics/Division of Child and Adolescent Health, Columbia University Irving Medical Center, United States of America. Electronic address: ler2@columbia.edu. 4. Ambulatory Care Network, Division of Community and Population Health, NewYork Presbyterian, United States of America. Electronic address: stc7003@nyp.org. 5. Department of Pediatrics/Division of Child and Adolescent Health, Columbia University Irving Medical Center, United States of America. Electronic address: jr2163@columbia.edu. 6. Ambulatory Care Network, Division of Community and Population Health, NewYork Presbyterian, United States of America. Electronic address: aat9013@nyp.org.
Abstract
PURPOSE: There is a rising number of children with special health care needs (CSHCN) in the pediatric medical home and their care coordination is complicated and challenging. We aimed to integrate nurse care managers to coordinate care for such patients, and then evaluate, if this improved health care utilization. DESIGN AND METHODS: This quality improvement project evaluated the impact on CSHCN of the integration of nurse care managers in the pediatric medical home. From October 2015 through February 2019, 673 children received longitudinal care coordination support from a care manager. Health care utilization for primary, subspecialty, emergency department (ED) and inpatient care was reviewed using pre and post design. RESULTS: Three medical home-based nurse care managers were integrated into four pediatric hospital affiliated practices in a large, urban center. The number of ED visits and inpatient admissions were statistically significantly decreased post-intervention (p < 0.05).There was also a decrease in the number of subspecialty visits, but it was close to the threshold of significance (p = 0.054). There was no impact noted on primary care visits. CONCLUSION: This quality improvement project demonstrates that nurse care managers who are integrated into the medical home of CSHCN can potentially decrease the utilization of ED visits and hospital admissions as well as subspecialty visits. PRACTICE IMPLICATIONS: Nurse care managers can play a pivotal role in medical home redesign for the care of CSHCN.
PURPOSE: There is a rising number of children with special health care needs (CSHCN) in the pediatric medical home and their care coordination is complicated and challenging. We aimed to integrate nurse care managers to coordinate care for such patients, and then evaluate, if this improved health care utilization. DESIGN AND METHODS: This quality improvement project evaluated the impact on CSHCN of the integration of nurse care managers in the pediatric medical home. From October 2015 through February 2019, 673 children received longitudinal care coordination support from a care manager. Health care utilization for primary, subspecialty, emergency department (ED) and inpatient care was reviewed using pre and post design. RESULTS: Three medical home-based nurse care managers were integrated into four pediatric hospital affiliated practices in a large, urban center. The number of ED visits and inpatient admissions were statistically significantly decreased post-intervention (p < 0.05).There was also a decrease in the number of subspecialty visits, but it was close to the threshold of significance (p = 0.054). There was no impact noted on primary care visits. CONCLUSION: This quality improvement project demonstrates that nurse care managers who are integrated into the medical home of CSHCN can potentially decrease the utilization of ED visits and hospital admissions as well as subspecialty visits. PRACTICE IMPLICATIONS: Nurse care managers can play a pivotal role in medical home redesign for the care of CSHCN.