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Pediatric Complexity Tool Best Practice Alert: Early Identification of Care Coordination for Children with Special
Janine M Petitgout1, John Werner2, Stephanie Stewart3
1Care Coordination Division, University of Iowa Stead Family Children's Hospital, Iowa City, IA.
Insights
This quality improvement initiative developed an electronic medical record alert to identify children with special health care needs (CSHCN) earlier. This helps improve care coordination and patient outcomes during hospitalization and transition home.
Area of Science:
- Pediatric Healthcare
- Quality Improvement Initiatives
- Health Informatics
Background:
- Care coordination programs aim to enhance access, communication, and reduce hospital length of stay for children with special health care needs (CSHCN).
- Effective care coordination requires multidisciplinary collaboration and early identification of medically complex pediatric patients upon admission.
- Timely identification is crucial for optimizing resources and facilitating smooth transitions for CSHCN.
Purpose of the Study:
- To describe a quality improvement initiative focused on enhancing the early identification of CSHCN.
- To introduce a novel best practice alert integrated into the electronic medical record (EMR) system.
- To overcome challenges associated with the timely identification of CSHCN during hospital admission.
Main Methods:
- Development and implementation of a best practice alert within the EMR.
- The alert is designed to facilitate more efficient and timely enrollment of CSHCN into care coordination programs.
- Focus on improving the identification process at the point of hospital admission.
Main Results:
- The best practice alert has successfully improved the early identification of CSHCN.
- This has enabled care coordination benefits to be provided to patients earlier in their hospital stay.
- Demonstrates a successful quality improvement in patient identification for specialized care.
Conclusions:
- The developed best practice alert is an effective tool for the early identification of CSHCN.
- Implementing such alerts in EMR systems can significantly improve care coordination processes.
- Early identification and intervention through improved systems lead to better patient care and outcomes for CSHCN.
Abstract:
Care coordination programs continue to be developed for children with special health care needs (CSHCN). The goals for these programs are to improve access, increase communication, and decrease the overall length of stay for CSHCN. Care coordination optimizes resources to support children's health and well-being early in their hospitalization and facilitates a smooth discharge process and transition to home. Providing care coordination for CSHCN requires collaboration from many disciplines. To achieve high-quality care coordination, early identification of medically complex pediatric patients on admission is optimal. For more efficient and timelier enrollment into our care coordination program, we created a best practice alert within our electronic medical record to help overcome the challenges in timely identification of CSHCN. The best practice alert has helped us to provide care coordination benefits to our patients earlier in their hospital course. The purpose of this paper is to describe a quality improvement initiative to improve the early identification of CSHCN on hospital admission through the development of a best practice alert.
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