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Indirect and Direct Physician Support for Integrated Case Management in Children/Youth

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Physician's Guide

Abstract

Pediatric physicians have a very direct and important role in supporting integrated case management activities. The first task is to define very explicitly what level of case management is being considered by their healthcare organization. Care coordination carried out by a non-clinical (non-RN) support staff may be effective for patients with low to moderate case complexity in terms of health outcomes, patient costs, and patient and family satisfaction. However, the most complex patients, often with a combination of physical health, behavioral health, social situation, and health system challenges, benefit most from case managers trained to practice PICM. These patients and their families require support from case managers who are facile in addressing their clinical and health system challenges in an integrated way, without hand-offs or other interruptions in care. Physicians working with case managers in this process also need to be familiar with the PICM approach to best support the PICM managers and their patients.

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References

  1. Gee BT, Nansel TR, Liu A. Reduction of hypoglycaemic events with a behavioural intervention: a randomized clinical trial for paediatric patients with Type 1 diabetes mellitus. Diabet Med. 2015. doi:10.1111/dme.12744.

    PubMed  Google Scholar 

  2. Noyes J, Brenner M, Fox P, Guerin A. Reconceptualizing children’s complex discharge with health systems theory: novel integrative review with embedded expert consultation and theory development. J Adv Nurs. 2014;70(5):975–96.

    Article  PubMed  Google Scholar 

  3. Litt JS, McCormick MC. Care coordination, the family-centered medical home, and functional disability among children with special health care needs. Acad Pediatr. 2015;15(2):185–90.

    Article  PubMed  Google Scholar 

  4. Antonelli RC, Stille CJ, Antonelli DM. Care coordination for children and youth with special health care needs: a descriptive, multisite study of activities, personnel costs, and outcomes. Pediatrics. 2008;122(1):e209–16.

    Article  PubMed  Google Scholar 

  5. Cady RG, Kelly AM, Finkelstein SM, Looman WS, Garwick AW. Attributes of advanced practice registered nurse care coordination for children with medical complexity. J Pediatr Health Care. 2014;28(4):305–12.

    Article  PubMed  Google Scholar 

  6. Van Cleave J, Boudreau AA, McAllister J, Cooley WC, Maxwell A, Kuhlthau K. Care coordination over time in medical homes for children with special health care needs. Pediatrics. 2015;135(6):1018–26.

    Article  PubMed  Google Scholar 

  7. Wood D, Winterbauer N, Sloyer P, et al. A longitudinal study of a pediatric practice-based versus an agency-based model of care coordination for children and youth with special health care needs. Matern Child Health J. 2009;13(5):667–76.

    Article  PubMed  Google Scholar 

  8. American Academy of Pediatrics. Coordinated Care. 2015. https://medicalhomes.aap.org/Pages/Coordinated-Care.aspx. Accessed 7 June 2015.

  9. Turchi RM, Berhane Z, Bethell C, Pomponio A, Antonelli R, Minkovitz CS. Care coordination for CSHCN: associations with family-provider relations and family/child outcomes. Pediatrics. 2009;124 Suppl 4:S428–34.

    Article  PubMed  Google Scholar 

  10. Bethell CD, Blumberg SJ, Stein RE, Strickland B, Robertson J, Newacheck PW. Taking stock of the CSHCN screener: a review of common questions and current reflections. Acad Pediatr. 2015;15(2):165–76.

    Article  PubMed  Google Scholar 

  11. Simon TD, Cawthon ML, Stanford S, et al. Pediatric medical complexity algorithm: a new method to stratify children by medical complexity. Pediatrics. 2014;133(6):e1647–54.

    Article  PubMed  PubMed Central  Google Scholar 

  12. de Jonge P, Bauer I, Huyse FJ, Latour CH. Medical inpatients at risk of extended hospital stay and poor discharge health status: detection with COMPRI and INTERMED. Psychosom Med. 2003;65(4):534–41.

    Article  PubMed  Google Scholar 

  13. de Jonge P, Huyse FJ, Slaets JP, Sollner W, Stiefel FC. Operationalization of biopsychosocial case complexity in general health care: the INTERMED project. Aust N Z J Psychiatry. 2005;39(9):795–9.

    Article  PubMed  Google Scholar 

  14. de Jonge P, Huyse FJ, Stiefel FC. Case and care complexity in the medically ill. Med Clin North Am. 2006;90(4):679–92.

    Article  PubMed  Google Scholar 

  15. de Jonge P, Ruinemans GM, Huyse FJ, ter Wee PM. A simple risk score predicts poor quality of life and non-survival at 1 year follow-up in dialysis patients. Nephrol Dial Transplant. 2003;18(12):2622–8.

    Article  PubMed  Google Scholar 

  16. de Jonge P, Stiefel F. Internal consistency of the INTERMED in patients with somatic diseases. J Psychosom Res. 2003;54(5):497–9.

    Article  PubMed  Google Scholar 

  17. Peters LL, Boter H, Slaets JP, Buskens E. Development and measurement properties of the self assessment version of the INTERMED for the elderly to assess case complexity. J Psychosom Res. 2013;74(6):518–22.

    Article  PubMed  Google Scholar 

  18. Stiefel FC, de Jonge P, Huyse FJ, et al. “INTERMED”: a method to assess health service needs. II. Results on its validity and clinical use. Gen Hosp Psychiatry. 1999;21(1):49–56.

    Article  CAS  PubMed  Google Scholar 

  19. de Jonge P, Hoogervorst EL, Huyse FJ, Polman CH. INTERMED: a measure of biopsychosocial case complexity: one year stability in Multiple Sclerosis patients. Gen Hosp Psychiatry. 2004;26(2):147–52.

    Article  PubMed  Google Scholar 

  20. Medical Home Initiatives for Children With Special Needs Project Advisory Committee, American Academy of Pediatrics. The medical home. Pediatrics. 2002;110(1 Pt 1):184–6.

    Article  Google Scholar 

  21. Sia C, Tonniges TF, Osterhus E, Taba S. History of the medical home concept. Pediatrics. 2004;113(5 Suppl):1473–8.

    PubMed  Google Scholar 

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Kathol, R.G., Knutson, K.H., Dehnel, P.J. (2016). Indirect and Direct Physician Support for Integrated Case Management in Children/Youth. In: Physician's Guide. Springer, Cham. https://doi.org/10.1007/978-3-319-28959-5_7

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  • DOI: https://doi.org/10.1007/978-3-319-28959-5_7

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  • Online ISBN: 978-3-319-28959-5

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