Abstract
Children with Special Health Care Needs (CSHCN) population, account for 30% of spending or $233.5 billion of the costs (Bui et al., 2017). Identifying barriers to care in the CSHCN population can be multi-faceted and complex incorporating high utilization of time, and clinical resources. This project aims to evaluate the impact of care coordination, and utilization on the CSHCN population through a Patient-centered Medical Home, use of embedded case management assessing this population through using the evidence-based Care
Coordination Management Tool (CCMT). CSHCN (N=117) and families were assessed using the CCMT at every interaction from September 1, 2020 – November 30, 2020. All
assessment data was recorded in Driscoll Health Plan (DHP) EPIC electronic medical record (EMR). Eight RNs completed assessments on 117 CSHCN at each encounter. Utilization indicates a decrease of 13% or $280,172.38. Measurement of coordination activities were 41% parent education, 29% communication improvement, 21% investigation of services, 7% authorization, and 1% authorization review. By category, 29% of needs were related to utilization authorizations, 23% related to disease education, 16% referral for community resources, 18% education on Medicaid and 14% related to a behavioral health follow-up.
This project reveals that assigned case managers utilizing a standardized evidence-based tool can impact costs of care, parent satisfaction, and quality of life for the CSHCN patient.
Date of publication
Spring 4-23-2021
Document Type
DNP Scholarly Project
Language
english
Persistent identifier
http://hdl.handle.net/10950/3668
Committee members
Dr. Colleen Marzilli, RN, Dr. Fred McCurdy, MBA, Dr. Karl Serrao, MBA
Degree
Doctor of Nursing Practice
Recommended Citation
Sobers-Butler, MS, BSBA, RN, CMCN, Keisia N., "DNP FINAL REPORT: THE IMPACT OF THE CARE COORDINATION MANAGEMENT TOOL ON CHILDREN WITH SPECIAL HEALTH CARE NEEDS" (2021). DNP Final Reports. Paper 20.
http://hdl.handle.net/10950/3668
Included in
Pediatric Nursing Commons, Public Health and Community Nursing Commons, Quality Improvement Commons