The Impact of Telehealth and Care Coordination on the Number and Type of Clinical Visits for Children With Medical Complexity

Holly D. McKissick, Rhonda G Cady, Wendy S. Looman, Stanley M Finkelstein

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Introduction The purpose of this analysis was to evaluate the effects of an advanced practice nurse–delivered telehealth intervention on health care use by children with medical complexity (CMC). Because CMC account for a large share of health care use costs, finding effective ways to care for them is an important challenge requiring exploration. Method This was a secondary analysis of data from a randomized clinical trial with a control group and two intervention groups. The focus of the analysis was planned and unplanned clinical and therapy visits by CMC over a 30-month data collection period. Nonparametric tests were used to compare visit counts among and within the three groups. Results The number of unplanned visits decreased over time across all groups, with the greatest decrease in the video telehealth intervention group. Planned visits were higher in the video telehealth group across all time periods. Discussion Advanced practice registered nurse–delivered telehealth care coordination may support a shift from unplanned to planned health care service use among CMC.

Original languageEnglish (US)
Pages (from-to)452-458
Number of pages7
JournalJournal of Pediatric Health Care
Volume31
Issue number4
DOIs
StatePublished - Jul 2017

Bibliographical note

Publisher Copyright:
© 2016 National Association of Pediatric Nurse Practitioners

Keywords

  • Care coordination
  • medical complexity
  • telehealth

Fingerprint

Dive into the research topics of 'The Impact of Telehealth and Care Coordination on the Number and Type of Clinical Visits for Children With Medical Complexity'. Together they form a unique fingerprint.

Cite this