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Peds program reduces ED visits by 55%
Insights
A new program successfully reduced emergency department (ED) visits for children with complex medical needs by 55%. Key elements included a family liaison and a patient binder to improve care coordination and reduce unnecessary visits.
Area of Science:
- Pediatric Healthcare
- Complex Medical Conditions
- Healthcare Management
Background:
- Children with complex medical issues often face fragmented care.
- This can lead to frequent and unnecessary emergency department (ED) visits.
- Establishing a medical home is crucial for coordinated care.
Purpose of the Study:
- To evaluate the impact of a dedicated program on reducing ED visits for children with complex medical needs.
- To identify key components contributing to the program's success.
Main Methods:
- Implementation of a program focused on establishing a medical home for pediatric patients with complex conditions.
- Inclusion of a family liaison for administrative support and care coordination.
- Provision of an "All about Me" binder for patients to consolidate medical information.
- An initial comprehensive visit to develop problem lists and integrate patients into the program.
Main Results:
- A significant 55% reduction in emergency department (ED) visits was observed.
- The program successfully connected children with complex medical issues to a stable medical home.
Conclusions:
- A structured program with dedicated support, such as a family liaison and patient-centered resources, can effectively reduce ED utilization.
- This approach improves care coordination and outcomes for children with complex medical needs.
Abstract:
A program designed to find a medical home for children with complex medical issues has resulted in a 55% reduction in ED visits. Leaders of the program, conducted by the Division of Pediatric Cardiology at the David Geffen School of Medicine at the University of California Los Angeles, say there were several key program components that led to a reduction in unnecessary ED visits, including the following: A family liaison, who provides administrative services such as access to scheduling, record retrieval and distribution, and maintenance of lists of potential providers, community schools, regional health centers, etc. An "All about Me" binder for patients that includes an initial problem list, a medication list, a list of physicians, notes, and lab results. An initial one-hour visit with the patient to develop lists of problems and introduce them into the program.
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