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Characterizing psychosocial services in a pediatric urology practice
Rena Xu1, Lillian C Hayes2, Peter Y Cai1
1Department of Urology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Department of Surgery, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
Journal of Pediatric Urology
|November 29, 2023
Summary
Psychosocial providers in pediatric urology offer crucial non-billable support, including direct care and extensive care coordination. Understanding these activities is key for addressing patient needs and optimizing resources.
Area of Science:
- Pediatric Urology
- Behavioral Health
- Healthcare Management
Background:
- Psychosocial needs significantly impact patient experience and outcomes.
- Systematic assessment of non-billable psychosocial services is often limited in clinical practices.
Purpose of the Study:
- To characterize the non-billable activities of psychosocial providers in a pediatric urology setting.
- To quantify time allocation and affected outcomes of these services.
Main Methods:
- Prospective data collection using an adapted Care Coordination Measurement Tool (CCMT).
- Involved a psychologist, social worker (SW), and certified child life specialist (CCLS).
- Recorded activity type, time spent, and affected outcomes.
Main Results:
- 3096 activities documented across 947 encounters for 527 patients.
- Top needs: urologic care coordination (73.4%), mental/behavioral health (29.1%).
- Direct support (45.9%) and care coordination (35.9%) consumed most time; time varied by provider type.
Conclusions:
- Psychosocial providers perform substantial non-billable care coordination and support activities.
- Characterizing these services is vital for understanding patient needs and resource allocation.
- These findings highlight essential services for specialty pediatric care.
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