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Related Concept Videos

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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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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.
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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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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 Tertiary Care-based Complex Care Program: Improving Care for Children With Medical Complexity.

Annique K Hogan1, Meghan M Galligan1,2, Noelle J Stack1

  • 1Children's Hospital of Philadelphia.

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A consultative complex care program significantly reduced hospitalizations and costs for children with medical complexity (CMC). Caregiver satisfaction also improved, demonstrating better quality of care for these vulnerable patients.

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Area of Science:

  • Pediatric Healthcare
  • Complex Care Management
  • Health Services Research

Background:

  • Children with medical complexity (CMC) face high healthcare costs, unmet needs, and frequent hospitalizations.
  • Caregiver stress and dissatisfaction are common among families of CMC.
  • Existing complex care programs show potential for improving care delivery.

Purpose of the Study:

  • To evaluate the impact of a consultative complex care program on healthcare utilization and costs for CMC.
  • To assess the effect of the program on caregiver satisfaction.
  • To improve the quality and experience of care for CMC and their families.

Main Methods:

  • Development and implementation of the Compass Care Program, a consultative model for CMC.
  • Tracking of utilization data (admissions, length of stay, ED visits, charges) pre- and post-enrollment.
  • Collection of caregiver satisfaction data via surveys.

Main Results:

  • Significant reductions observed in hospital admissions, length of stay, hospital days, and institutional charges per patient month (P<0.01).
  • No significant increase in 7-day readmissions.
  • Improvements noted in all domains of caregiver satisfaction scores.

Conclusions:

  • Consultative complex care programs can optimize healthcare utilization and reduce costs for CMC.
  • These programs enhance the patient and family experience of care.
  • Implementing such programs is beneficial for managing the needs of CMC.