cshcn screener
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2019 ◽  
Vol 6 ◽  
pp. 2333794X1984867 ◽  
Author(s):  
Zohra Moeenuddin ◽  
Caroline Kim-Kupfer ◽  
Erica Owchar ◽  
Joshua Baker ◽  
Amy Duffield ◽  
...  

This study evaluates the influence of comprehensive health care coordination for children with special health care needs (CSHCN) in a resident continuity clinic. CSHCN patients were identified from 2 resident continuity panels. Patients were eligible with a score of 2 or greater on the CSHCN screener. Interventions included extended appointment times, a binder, and direct phone access to the social worker who facilitated follow-up appointment scheduling. Data measured included completed and no-show visits for primary care and subspecialty appointments, hospitalization and emergency department visits, use of binders, and parent satisfaction surveys. Patients with a baseline CSHCN screener score ≥4 were 15.6 times more likely to keep their appointment after enrollment ( P = .0035). Mental health no-show visits decreased significantly ( P < .0001). The utilization of components of comprehensive team-based care coordination, even with limited resources, can improve the delivery of health care for children with complex medical needs and mental health disorders in a resident-based clinic.


2015 ◽  
Vol 15 (2) ◽  
pp. 165-176 ◽  
Author(s):  
Christina D. Bethell ◽  
Stephen J. Blumberg ◽  
Ruth E.K. Stein ◽  
Bonnie Strickland ◽  
Julie Robertson ◽  
...  
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