Development of a Community-Based Medical Neighborhood for Children with Chronic Conditions

Bansa, Melishia; Glassgow, Anne Elizabeth; Martin, Molly A.; Caskey, Rachel; Paulson, Allison; Minier, Mark; Roper, Pamela R.; Mitacek, Ryan; Wilder, Jocelyn; Voorhees, Benjamin W. Van

doi:10.1353/cpr.2019.0011

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…The program was designed to provide comprehensive care coordination of services to Medicaid-enrolled children and young adults living in Chicago. The CHECK program enrolled patients with one or more chronic conditions, with the aim of determining whether health service coordination would reduce health care expenditures in patients with complex health needs 23,[29][30][31][32][33] .…”

Section: Introductionmentioning

confidence: 99%

Healthcare coordination and medical expenditures for Sickle Cell Disease patients with different levels of health utilization risk

Hsu¹,

Wang

Munoz³

et al. 2022

Preprint

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Sickle Cell Disease (SCD) has a complex array of symptoms and is associated with high healthcare expenditures. A comprehensive care program may help to reduce expenditures of children with SCD. This research describes SCD comprehensive care program enrollees’ expenditure patterns by level of hospitalization risk over a three-year period and estimates whether coordination of care services reduced costs for those with different risk levels. Medicaid claims data were collected for program patients with SCD. Data from the one year prior to program enrollment categorized patients as High, Medium, or Low risk for incurring inpatient expenditures. We compared utilization risk groups on inpatient expenditures by year after program enrollment. The trends in expenditures are shown in the subgroup analyses (descriptively). 361 program enrollees ages 1 to 27y had SCD; 8.9% were categorized as High risk of utilizing hospitalization services, 47.9% were at Medium risk, and 43.2% were at Low risk. The High Utilization and Medium Utilization Risk groups showed trends of expenditure reduction, but the trends may be due to regression of extreme group costs toward the mean. The lack of a statistically significant cost benefit might be due to small sample size, low engagement in the program services, short duration of intervention, and inability to distinguish the appropriateness of healthcare utilization for SCD.

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Section: Introductionmentioning

confidence: 99%

Healthcare coordination and medical expenditures for Sickle Cell Disease patients with different levels of health utilization risk

Hsu¹,

Wang

Munoz³

et al. 2022

Preprint

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“…Asthma represents 72% of the patients enrolled in CHECK. The full CHECK model is described in detail elsewhere (Bansa et al., ; Glassgow et al., ; Martin, Perry‐Bell, Minier, Glassgow, & Van Voorhees, ; Minier et al., ).…”

Section: Introductionmentioning

confidence: 99%

Chicago Public School nurses examine barriers to school asthma care coordination

Pappalardo

Paulson

Bruscato

et al. 2018

Public Health Nursing

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Objective/Design: Well documented asthma disparities in Chicago pose a continual challenge for the Chicago Public Schools (CPS). Coordinated Healthcare for Complex Kids (CHECK) is a health care demonstration project funded by a Centers for Medicare and Medicaid Services Health Care Innovation Award. A collaborative partnership was formed between CHECK and CPS. With CHECK support, CPS administered a survey to 160 nurses to understand the asthma problems nurses perceived and interest in intervention. Results: Seventy-five per cent (n = 120) completed the survey. While asthma was the top diagnosis managed by 95%, 72% reported gaps in asthma understanding. Appropriate communication between school nurses and providers occurred 33% of the time; 18% believed they received sufficient support to follow-up on deficient paperwork. The barriers mentioned were lack of medications (73%), time (67%), and communication with providers (61%). When asked their opinions on potential interventions, 78% of nurses supported web-based applications, 66% community health workers (CHW), and 66% stock albuterol in schools. Conclusions: The greatest barriers for CPS nurses with asthma management are time and communication. Potential interventions such as web-based communication applications and CHW in schools were well received. K E Y W O R D S asthma, Centers for Medicare and Medicaid Services, community health worker, communitybased participatory research, health disparities, nurse, pediatric asthma, school-based asthma, schools, survey, vulnerable population

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Applying Interventions to Address the Social Determinants of Health and Reduce Health Disparities in Congenital Heart Disease Patients

Cherestal

Hudson

Lopez

2022

Curr Cardiovasc Risk Rep

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Development of a Community-Based Medical Neighborhood for Children with Chronic Conditions

Cited by 4 publications

References 9 publications

Healthcare coordination and medical expenditures for Sickle Cell Disease patients with different levels of health utilization risk

Healthcare coordination and medical expenditures for Sickle Cell Disease patients with different levels of health utilization risk

Chicago Public School nurses examine barriers to school asthma care coordination

Applying Interventions to Address the Social Determinants of Health and Reduce Health Disparities in Congenital Heart Disease Patients

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