title: Improving pediatric patient outcomes: comparing two case management models.
abstract: OBJECTIVE
  Case management (CM) is a growing and evolving profession. Outcomes-based research that identifies the role of CM is needed in health care today. Case management has been recognized as a way to help patients experience high-quality and cost-effective care. The purpose of this nonexperimental, retrospective research study was to examine two CM models and their effect on patient outcomes, including length of hospital stay and readmission to the hospital within 30 days of discharge with the same diagnosis.
  
  
  METHODS
  The study was completed at two acute care pediatric hospitals in separate geographical regions of the country.
  
  
  METHODS
  Two CM models were compared by conducting a retrospective patient chart review. Seven hundred pediatric patient charts were reviewed to determine whether the patient outcomes met patient outcomes of interest. All patients were diagnosed with asthma and were between the ages of 2 and 18 years.
  
  
  RESULTS
  Analysis of data indicated that the length of hospital stay at Hospital A was significantly shorter than the length of hospital stay for patients admitted to Hospital B. However, hospital readmission rates within 30 days of discharge at Hospital A versus Hospital B indicated no significant difference.
  
  
  CONCLUSIONS
  Further research that examines different CM models must account for variables such as complexity of disease process, age of patient on admission to the hospital, and relevance of discharge teaching.
authors: Indiana University-Purdue University, Fort Wayne, IN 46805, USA. polingd@ipfw.edu
authors: Deborah
authors: D
authors: Poling
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000451:nursing; D019090:Case Management; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D006776:Hospitals, Pediatric; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D017146:Models, Organizational; D010351:Patient Discharge / Q000706:statistics & numerical data; D010372:Pediatrics / Q000379:methods*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States