title: Development of a hospital-based care coordination program for children with special health care needs.
abstract: A hospital-based Continuity of Care program for children with special health care needs is described. A family-centered team approach provides care coordination and a medical home. The program has grown during the past 10 years to include inpatients and outpatients from multiple services and outreach clinics. Improved outcomes, including decreased length of stay, decreased cost, and high family satisfaction, are demonstrated by participants in the program. Pediatric nurse practitioners play an important role in the medical home, collaborating with primary care providers, hospital-based specialists, community services, and social workers to provide services to children with special health care needs.
authors.forename: Janine M
authors.initials: JM
authors.lastname: Petitgout
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Pelzer
authors.forename: Stacy A
authors.initials: SA
authors.lastname: McConkey
authors.forename: Kirsten
authors.initials: K
authors.lastname: Hanrahan
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000458:organization & administration* / Q000592:standards; D002675:Child, Preschool; D003266:Continuity of Patient Care; D003299:Cooperative Behavior; D019988:Children with Disabilities; D005260:Female; D006301:Health Services Needs and Demand; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team; D018802:Patient-Centered Care; D064701:Pediatric Nurse Practitioners / Q000458:organization & administration*; D011320:Primary Health Care; D016730:Program Development; D015397:Program Evaluation; D014481:United States / Q000453:epidemiology