TY - JOUR
KW - Care coordination tool
KW - Children with special healthcare needs
KW - medical home
KW - Mental Health
KW - Shared plans of care
AU - E. Mann
AU - M. Pyevich
AU - P. T. Eyck
AU - T. Scholz
A1 - 
AB - 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.
AD - Carver College of Medicine, University of Iowa, 220 River Street, Iowa City, IA, 52246, USA.; Carver College of Medicine, University of Iowa, 220 River Street, Iowa City, IA, 52246, USA.; Institute for Clinical and Translational Science, University of Iowa, SW44-M General Hospital, 100 Hawkins Drive, Iowa City, IA, 52242, USA.; Department of Pediatrics, Child and Community Health, 247 CDD, 100 Hawkins Drive, Iowa City, IA, 52242, USA. thomas-scholz@uiowa.edu.
BT - Maternal and child health journal
C5 - Financing & Sustainability; Healthcare Disparities; Medical Home
CY - United States
DO - 10.1007/s10995-020-03101-3
JF - Maternal and child health journal
LA - eng
M1 - Journal Article
N2 - 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.
PP - United States
PY - 2020
SN - 1573-6628; 1092-7875
T1 - Impact of Shared Plans of Care on Healthcare Utilization by Children with Special Healthcare Needs and Mental Health Diagnoses
T2 - Maternal and child health journal
TI - Impact of Shared Plans of Care on Healthcare Utilization by Children with Special Healthcare Needs and Mental Health Diagnoses
U1 - Financing & Sustainability; Healthcare Disparities; Medical Home
U2 - 33245527
U3 - 10.1007/s10995-020-03101-3
VO - 1573-6628; 1092-7875
Y1 - 2020
Y2 - Nov 27
ER -