Quantifying the benefits from a care coordination program for tracheostomy placement in neonates.

Area of Science:

• Healthcare Management
• Pediatric Care
• Value-Based Healthcare

Background:

• Value-based care models are increasingly important in healthcare delivery.
• Family-Centered Care Coordination (FCCC) programs aim to improve patient transitions and caregiver well-being.
• Neonates undergoing tracheostomy require specialized care coordination for successful outcomes.

Purpose of the Study:

• To evaluate the value of a Family-Centered Care Coordination (FCCC) program for neonates requiring tracheostomy.
• To assess the impact of FCCC on length of stay, cost of care, caregiver quality of life, and complication rates.

Main Methods:

• A retrospective cohort study compared neonates undergoing tracheostomy before and after FCCC implementation.
• Time-driven activity-based costing was used to estimate care costs.
• Caregiver quality of life (QOL) and complication rates were assessed using validated instruments (PTHSI and MCAT).

Main Results:

• Average length of stay (LOS) decreased from 30.5 to 16.6 days post-FCCC implementation.
• Overall cost per care cycle reduced by 36%, with a 61% cost reduction in discharge planning.
• Significant improvements were observed in caregiver QOL (PTHSI effect size 0.80) and reduced complications (MCAT effect size 9.35).

Conclusions:

• The FCCC program for neonates with tracheostomy demonstrated superior outcomes.
• Implementation led to reduced caregiver burden and lower complication rates.
• The FCCC program offers a cost-effective approach to improving care for neonates undergoing tracheostomy.