DNP Project Title
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
DNP Scholarly Project
Dr. Colleen Marzilli, RN, Dr. Fred McCurdy, MBA, Dr. Karl Serrao, MBA
Doctor of Nursing Practice
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.