Abstract
Care coordination is an essential component of the pediatric health care home. This study investigated the attributes of relationship-based advanced practice registered nurse care coordination for children with medical complexity enrolled in a tertiary hospital-based health care home. Retrospective review of 2,628 care coordination episodes conducted by telehealth over a consecutive 3-year time period for 27 children indicated that parents initiated the majority of episodes and the most frequent reason was acute and chronic condition management. During this period, care coordination episodes tripled, with a significant increase (p < .001) between years 1 and 2. The increased episodes could explain previously reported reductions in hospitalizations for this group of children. Descriptive analysis of a program-specific survey showed that parents valued having a single place to call and assistance in managing their child's complex needs. The advanced practice registered nurse care coordination model has potential for changing the health management processes for children with medical complexity.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 305-312 |
| Number of pages | 8 |
| Journal | Journal of Pediatric Health Care |
| Volume | 28 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jan 1 2014 |
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Keywords
- Advanced practice registered nursing
- Care coordination
- Children with medical complexity
- Children with special health care needs
- Health care home
Cite this
Attributes of advanced practice registered nurse care coordination for children with medical complexity. / Cady, Rhonda G.; Kelly, Anne M.; Finkelstein, Stanley M; Looman, Wendy S; Garwick, Ann E.
In: Journal of Pediatric Health Care, Vol. 28, No. 4, 01.01.2014, p. 305-312.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Attributes of advanced practice registered nurse care coordination for children with medical complexity
AU - Cady, Rhonda G.
AU - Kelly, Anne M.
AU - Finkelstein, Stanley M
AU - Looman, Wendy S
AU - Garwick, Ann E
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Care coordination is an essential component of the pediatric health care home. This study investigated the attributes of relationship-based advanced practice registered nurse care coordination for children with medical complexity enrolled in a tertiary hospital-based health care home. Retrospective review of 2,628 care coordination episodes conducted by telehealth over a consecutive 3-year time period for 27 children indicated that parents initiated the majority of episodes and the most frequent reason was acute and chronic condition management. During this period, care coordination episodes tripled, with a significant increase (p < .001) between years 1 and 2. The increased episodes could explain previously reported reductions in hospitalizations for this group of children. Descriptive analysis of a program-specific survey showed that parents valued having a single place to call and assistance in managing their child's complex needs. The advanced practice registered nurse care coordination model has potential for changing the health management processes for children with medical complexity.
AB - Care coordination is an essential component of the pediatric health care home. This study investigated the attributes of relationship-based advanced practice registered nurse care coordination for children with medical complexity enrolled in a tertiary hospital-based health care home. Retrospective review of 2,628 care coordination episodes conducted by telehealth over a consecutive 3-year time period for 27 children indicated that parents initiated the majority of episodes and the most frequent reason was acute and chronic condition management. During this period, care coordination episodes tripled, with a significant increase (p < .001) between years 1 and 2. The increased episodes could explain previously reported reductions in hospitalizations for this group of children. Descriptive analysis of a program-specific survey showed that parents valued having a single place to call and assistance in managing their child's complex needs. The advanced practice registered nurse care coordination model has potential for changing the health management processes for children with medical complexity.
KW - Advanced practice registered nursing
KW - Care coordination
KW - Children with medical complexity
KW - Children with special health care needs
KW - Health care home
UR - http://www.scopus.com/inward/record.url?scp=84902806307&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84902806307&partnerID=8YFLogxK
U2 - 10.1016/j.pedhc.2013.06.005
DO - 10.1016/j.pedhc.2013.06.005
M3 - Article
C2 - 23988611
AN - SCOPUS:84902806307
VL - 28
SP - 305
EP - 312
JO - Journal of Pediatric Health Care
JF - Journal of Pediatric Health Care
SN - 0891-5245
IS - 4
ER -