Hospital-Based Programs for Children With Special Health Care Needs

Parent-reported outcomes of comprehensive care for children with medical complexity.

“…There are a number of strengths of our study. We have previously demonstrated reduction in inpatient utilization and overall health care costs, and tertiary care center-based comprehensive services have attracted increasing attention for their potential for improving outcomes and achieving cost savings (Agrawal & Antonelli, 2011). We used previously validated scales to assess a range of family outcomes.…”

Parent-reported outcomes of comprehensive care for children with medical complexity.

“…There are a number of strengths of our study. We have previously demonstrated reduction in inpatient utilization and overall health care costs, and tertiary care center-based comprehensive services have attracted increasing attention for their potential for improving outcomes and achieving cost savings (Agrawal & Antonelli, 2011). We used previously validated scales to assess a range of family outcomes.…”

Models of Care Delivery for Children With Medical Complexity

“…Analogous to those of many palliative care programs, the efforts of CC models are commonly focused on care coordination services, goaldirected comanagement of medical issues, and acting as a bridge between the tertiary care center and the community. 8,17,34 In consultative models, recommendations regarding specific questions are typically provided, whereas comanagement models are engaged over a longer period of time, taking a more or less active role as dictated by needs. Long-established examples of the CC model are subspecialty programs structured around a single disease or type of technology assistance.…”

“…Other tools to enhance communication and accessibility include home visits, telemedicine, e-mail, shared health care portals, and on-call services available for both families and other providers. 34 In 1 CC program, face-to-face services are delivered within a patient's local community by holding weekly comanagement care coordination clinics staffed by a tertiary-care nurse practitioner and a community pediatrician. 17 Partially in response to scarce resources, the providers within some CC models use a multilayered care team approach, matching skill sets with tasks, with nonphysicians providing many of the care coordination services, including direct communication between care teams.…”

Family‐provider consensus outcomes for children with medical complexity

“…Various initiatives have been proposed to improve outcomes for CMC from the provider and CMC family perspective of good outcome . These include health system‐level changes, and provider behavior adjustments .…”

“…[10][11][12] Various initiatives have been proposed to improve outcomes for CMC from the provider and CMC family perspective of good outcome. [13][14][15] These include health system-level changes, 2,16 and provider behavior adjustments. 2 All of these issues have been identified as important to selecting outcomes for evaluating interventions in the Institute for Healthcare Improvement Triple Aim framework 17 and other best practice recommendations for outcome improvement.…”

Parent-reported outcomes of comprehensive care for children with medical complexity.

“…There are a number of strengths of our study. We have previously demonstrated reduction in inpatient utilization and overall health care costs, and tertiary care center-based comprehensive services have attracted increasing attention for their potential for improving outcomes and achieving cost savings (Agrawal & Antonelli, 2011). We used previously validated scales to assess a range of family outcomes.…”

Models of Care Delivery for Children With Medical Complexity

“…Analogous to those of many palliative care programs, the efforts of CC models are commonly focused on care coordination services, goaldirected comanagement of medical issues, and acting as a bridge between the tertiary care center and the community. 8,17,34 In consultative models, recommendations regarding specific questions are typically provided, whereas comanagement models are engaged over a longer period of time, taking a more or less active role as dictated by needs. Long-established examples of the CC model are subspecialty programs structured around a single disease or type of technology assistance.…”

“…Other tools to enhance communication and accessibility include home visits, telemedicine, e-mail, shared health care portals, and on-call services available for both families and other providers. 34 In 1 CC program, face-to-face services are delivered within a patient's local community by holding weekly comanagement care coordination clinics staffed by a tertiary-care nurse practitioner and a community pediatrician. 17 Partially in response to scarce resources, the providers within some CC models use a multilayered care team approach, matching skill sets with tasks, with nonphysicians providing many of the care coordination services, including direct communication between care teams.…”

Family‐provider consensus outcomes for children with medical complexity

“…Various initiatives have been proposed to improve outcomes for CMC from the provider and CMC family perspective of good outcome . These include health system‐level changes, and provider behavior adjustments .…”

“…[10][11][12] Various initiatives have been proposed to improve outcomes for CMC from the provider and CMC family perspective of good outcome. [13][14][15] These include health system-level changes, 2,16 and provider behavior adjustments. 2 All of these issues have been identified as important to selecting outcomes for evaluating interventions in the Institute for Healthcare Improvement Triple Aim framework 17 and other best practice recommendations for outcome improvement.…”

Parent-reported outcomes of comprehensive care for children with medical complexity.

“…There are a number of strengths of our study. We have previously demonstrated reduction in inpatient utilization and overall health care costs, and tertiary care center-based comprehensive services have attracted increasing attention for their potential for improving outcomes and achieving cost savings (Agrawal & Antonelli, 2011). We used previously validated scales to assess a range of family outcomes.…”

Models of Care Delivery for Children With Medical Complexity

“…Analogous to those of many palliative care programs, the efforts of CC models are commonly focused on care coordination services, goaldirected comanagement of medical issues, and acting as a bridge between the tertiary care center and the community. 8,17,34 In consultative models, recommendations regarding specific questions are typically provided, whereas comanagement models are engaged over a longer period of time, taking a more or less active role as dictated by needs. Long-established examples of the CC model are subspecialty programs structured around a single disease or type of technology assistance.…”

“…Other tools to enhance communication and accessibility include home visits, telemedicine, e-mail, shared health care portals, and on-call services available for both families and other providers. 34 In 1 CC program, face-to-face services are delivered within a patient's local community by holding weekly comanagement care coordination clinics staffed by a tertiary-care nurse practitioner and a community pediatrician. 17 Partially in response to scarce resources, the providers within some CC models use a multilayered care team approach, matching skill sets with tasks, with nonphysicians providing many of the care coordination services, including direct communication between care teams.…”

Family‐provider consensus outcomes for children with medical complexity

“…Various initiatives have been proposed to improve outcomes for CMC from the provider and CMC family perspective of good outcome . These include health system‐level changes, and provider behavior adjustments .…”

“…[10][11][12] Various initiatives have been proposed to improve outcomes for CMC from the provider and CMC family perspective of good outcome. [13][14][15] These include health system-level changes, 2,16 and provider behavior adjustments. 2 All of these issues have been identified as important to selecting outcomes for evaluating interventions in the Institute for Healthcare Improvement Triple Aim framework 17 and other best practice recommendations for outcome improvement.…”