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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

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A case series using a care management checklist to decrease emergency department visits and hospitalizations in

¹1Division of Child Neurology, Nationwide Children's Hospital, Columbus, OH, USA.

Journal of Child Neurology

|September 24, 2013

Summary

A care management checklist reduced emergency department visits and hospitalizations for epilepsy patients. This intervention significantly lowered healthcare costs for frequent-visit patients.

Keywords:

care management costs epilepsy

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Interictal High Frequency Oscillations Detected with Simultaneous Magnetoencephalography and Electroencephalography as Biomarker of Pediatric Epilepsy

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Published on: December 6, 2016

Area of Science:

Neurology
Healthcare Management
Health Economics

Background:

Epilepsy and seizures affect 1 million individuals annually, leading to frequent emergency department (ED) visits.
High ED utilization among epilepsy patients contributes significantly to healthcare costs.
Frequent ED visits and hospitalizations indicate a need for improved care management strategies.

Purpose of the Study:

To evaluate the effectiveness of a care management checklist in reducing ED visits and hospitalizations for epilepsy patients.
To assess the impact of a care management checklist on associated healthcare costs.
To determine the utility of a structured checklist in managing high-utilizing epilepsy patient populations.

Main Methods:

A retrospective database search identified four epilepsy patients with the highest ED visit and/or hospitalization rates in 2011.
A care management checklist was implemented for these patients in 2012.
Data on office visits, ED visits, hospitalizations, and costs were collected and compared for 2011 and 2012.

Main Results:

The four selected epilepsy patients had 46 ED visits and/or hospitalizations in 2011, costing $380,209.
After implementing the care management checklist in 2012, these same patients had only 11 visits.
The intervention resulted in a cost reduction of $188,130 within one year.

Conclusions:

A care management checklist proved effective in decreasing ED visits and hospitalizations for a small cohort of epilepsy patients.
The study demonstrates a significant reduction in healthcare expenditures through structured care management.
Further research with larger patient numbers is warranted to confirm these findings.