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Case management: an evaluation at Childrens Hospital Los Angeles
Tod L Barry1, David J Davis, John G Meara
1Continuum of Care, Case Management Department, Children's Hospital of Los Angeles, CA, USA.
Nursing Economic$
|March 15, 2002
Summary
Professional care coordination for children with complex health needs significantly improves financial outcomes, patient satisfaction, and clinical processes. Case management is an essential service in today's healthcare system.
Area of Science:
- Healthcare Management
- Pediatric Care
- Health Services Research
Background:
- Children with complex, special health needs often require extensive care coordination.
- The current managed healthcare environment necessitates efficient and effective service delivery models.
Purpose of the Study:
- To evaluate the impact of a case management program at Childrens Hospital Los Angeles (CHLA).
- To assess the value of professional service coordination for pediatric patients with complex health needs.
Main Methods:
- Prospective evaluation employing both quantitative and qualitative methodologies.
- Analysis of financial data, patient satisfaction surveys, and clinical outcomes.
- Utilized validated questionnaires for patient feedback.
Main Results:
- Demonstrated significant improvements in financial metrics, including reduced unnecessary expenditures and increased revenue.
- Documented enhanced patient satisfaction through validated questionnaires.
- Showcased clinical process improvements supported by quantifiable clinical outcomes.
Conclusions:
- Case management is a highly valuable service within the current managed healthcare landscape.
- Professional service coordination is crucial for optimizing care for children with complex health needs.
- The program's success suggests case management may be indispensable for such patient populations.