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Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...

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Related Experiment Video

Updated: May 12, 2026

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
07:12

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis

Published on: February 10, 2026

Reforming Medicaid for medically complex children.

Randall O'Donnell1

  • 1Children's Mercy Hospitals and Clinics, Kansas City, MO 64108, USA. rodonnell@cmh.edu

Pediatrics
|April 3, 2013
PubMed
Summary

Children's hospitals propose a national network of Centers of Excellence to improve care for complex pediatric conditions. This aims to enhance care coordination and budget certainty for Medicaid and the State Child Health Insurance Program.

Area of Science:

  • Pediatric Healthcare Policy
  • Health Services Research

Background:

  • Children's hospitals are vital to child healthcare but face challenges under reform.
  • Current reimbursement models often neglect preventive care, care coordination, and quality improvements.
  • Children with complex conditions represent a vulnerable and costly patient population.

Purpose of the Study:

  • To discuss a proposal for a network of Nationally Designated Children's Hospitals.
  • To outline federal provisions for improving pediatric care delivery and financial certainty.
  • To ensure access to high-quality, coordinated care for children with complex health needs.

Main Methods:

  • Proposing a national coordinated delivery model for children with chronic and complex conditions in Medicaid and the State Child Health Insurance Program.

Related Experiment Videos

Last Updated: May 12, 2026

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
07:12

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis

Published on: February 10, 2026

  • Developing pediatric-specific care coordination guidelines, quality metrics, and network adequacy standards.
  • Implementing bundled payment or shared savings models for budget certainty.

    • Main Results:

    • The proposed network aims to reduce care fragmentation and associated costs.
    • Enhanced budget certainty for state and federal governments is a key objective.
    • Improved access to appropriate and high-quality pediatric care is anticipated.

    Conclusions:

    • The proposed network of Nationally Designated Children's Hospitals can improve care for vulnerable children.
    • This initiative offers a pathway to ensure quality pediatric care while providing financial predictability.
    • The model addresses critical needs in pediatric healthcare delivery and financing.