N/A
N=331
Improving Care for Children With Complex Needs
Medically Complex Children · Care Coordination · Case Manager · Care Manager · Collaborative Care
Bottom Line
View on ClinicalTrials.gov: NCT01587105 ↗Enrolled (actual)
331
Serious AEs
0.0%
Results posted
Feb 2017
Primary outcome: Primary: Cost of Care — 71692; 70618; 37,677; 56702 US Dollars
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Comprehensive Case Management Service (Behavioral)
- Age
- Pediatric, Adult · 0+ yrs
- Sex
- All
- Sponsor
- Seattle Children's Hospital
- Primary completion
- Sep 2014
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Cost of Care |
71692; 70618; 37,677; 56702; 36012; 52955 | — |
| PRIMARY Health Care Quality Ranking |
79.6; 81.9; 80.9; 88.6; 81.4; 88.2 | — |
| PRIMARY ED Visits Per Child |
0.28; 0.32; .20; .29; .19; .25 | — |
| PRIMARY Inpatient Admissions Per Child |
.57; .70; .38; .51; .28; .31 | — |
| PRIMARY Hospital Days Per Child |
1.21; 1.34; .49; .84; .33; .50 | — |
| SECONDARY Physician Satisfaction |
69; 67; 71; 70 | — |
Summary
Seattle Children's Hospital (SCH), in collaboration with several health plans and Washington State Department of Social and Health Services developed the Comprehensive Case Management (CCM) program with the goal to reduce costs of care for medically complex children cared for at SCH as well as improve their health status and the quality of care they receive. The CCM program aims to develop and facilitate a reliable and standardized process that empowers the child's primary care provider and provides him/her with the resources s/he needs to avoid unnecessary emergency department visits and admissions. Our study will include children who had a hospitalization or emergency department visit at Seattle Children's between 2009-2012 and, at that time, had multiple active chronic medical issues but had no specialty service at Seattle Children's to help their primary care providers manage them.
Eligibility Criteria
Inclusion Criteria
- between the ages of 3 months and 18 years,
- have at least three chronic medical conditions requiring active management
- were hospitalized or had an emergency department (ED) visit at SCH within the last year
- their PCP is enrolled in the study
Exclusion Criteria
- had 2+ visits to Pulmonary, Craniofacial, or Rheumatology within the last year
- had 3+ visits to Nephrology, Gastroenterology and has either Short Gut Syndrome or Crohn's Disease, Endocrinology or Neuromuscular Clinic within the last year
- has had 2+ visits to the Neurodevelopmental clinic and is followed by a NDV doctor
- cancer patient
- transplant recipient
- has cystic fibrosis, muscular dystrophy or sickle cell anemia
- has Down Syndrome and does not have any other medical issues aside from developmental delays
- renal patient on dialysis
- had a hospitalization for > 27 days
Data sourced from ClinicalTrials.gov (NCT01587105). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.