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- Title
Identifying Children With Medical Complexity for Care Coordination in Primary Care Settings.
- Authors
Burrell, Mikayla; Ciccarelli, Mary
- Abstract
Characteristics of a cohort of 98 children with medical complexity (CMC) insured by Medicaid were identified within an urban/rural pediatric practice for embedded nurse care coordination. Ninety percent of enrolled children fit the predefined requirements of requiring 3 or more subspecialists for their care. Neurology, orthopedic surgery, endocrinology, and gastroenterology were the most frequent subspecialists engaged in longitudinal care. The expected neurodevelopmental disabilities (cerebral palsy, spina bifida, Down syndrome, and other complex syndromes) were found in 64% of the patients. By applying a secondary definition to include children with complex neurodevelopmental or genetic syndromes, 98% of the patients were considered to be medically complex. The use of reliable and adequate criteria to identify medical complexity is important to determine which patients would most benefit from care coordination services, and our method was deemed successful.
- Subjects
UNITED States; NURSING care plans; CHRONIC diseases in children; DEVELOPMENTAL disabilities; CONTINUUM of care; PRIMARY health care; DESCRIPTIVE statistics; RESEARCH funding; MEDICAID; LONGITUDINAL method; CHILDREN
- Publication
Clinical Pediatrics, 2023, Vol 62, Issue 7, p781
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/00099228221144803