Improving Care for Children With Complex Needs

Summary

Seattle Children's Hospital (SCH), in collaboration with several health plans and Washington State Department of Social and Health Services developed the Comprehensive Case Management (CCM) program with the goal to reduce costs of care for medically complex children cared for at SCH as well as improve their health status and the quality of care they receive. The CCM program aims to develop and facilitate a reliable and standardized process that empowers the child's primary care provider and provides him/her with the resources s/he needs to avoid unnecessary emergency department visits and admissions. Our study will include children who had a hospitalization or emergency department visit at Seattle Children's between 2009-2012 and, at that time, had multiple active chronic medical issues but had no specialty service at Seattle Children's to help their primary care providers manage them.

Conditions

• Medically Complex Children
• Care Coordination
• Case Manager
• Care Manager
• Collaborative Care
• Disease Management
• Patient Care Team or Organization
• Managed Care
• Children With Chronic Conditions
• Children With Special Health Care Needs
• Shared Care Plan
• Patient Care Plan
• Health Care and Resource Utilization
• Adherence to Care
• Functional Status and Productivity
• Health Related Quality of Life
• Satisfaction With Care
• Care Coordinator
• Family Experience of Care
• Quality Health Care

Interventions

BEHAVIORAL

Comprehensive Case Management Service

When a child enrolls in the CCM program, the child's parent will work together with the CCM team at Seattle Children's to develop a shared care plan for their child. This plan will include all of the child's routine health care needs and information about what to do when the child gets sick. The parent will also have 24 hour access to an on-call CCM nurse.

Sponsors & Collaborators

• Seattle Children's Hospital

  lead OTHER

Principal Investigators

• Rita Mangione-Smith, MD, MPH · Seattle Children's Hospital

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

3 Months

Max Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2010-10-31

Primary Completion

2014-09-30

Completion

2017-09-29

Countries

• United States

Study Locations