title: Attributes of advanced practice registered nurse care coordination for children with medical complexity.
abstract: Care coordination is an essential component of the pediatric health care home. This study investigated the attributes of relationship-based advanced practice registered nurse care coordination for children with medical complexity enrolled in a tertiary hospital-based health care home. Retrospective review of 2,628 care coordination episodes conducted by telehealth over a consecutive 3-year time period for 27 children indicated that parents initiated the majority of episodes and the most frequent reason was acute and chronic condition management. During this period, care coordination episodes tripled, with a significant increase (p < .001) between years 1 and 2. The increased episodes could explain previously reported reductions in hospitalizations for this group of children. Descriptive analysis of a program-specific survey showed that parents valued having a single place to call and assistance in managing their child's complex needs. The advanced practice registered nurse care coordination model has potential for changing the health management processes for children with medical complexity.
authors.forename: Rhonda G
authors.initials: RG
authors.lastname: Cady
authors.forename: Anne M
authors.initials: AM
authors.lastname: Kelly
authors.forename: Stanley M
authors.initials: SM
authors.lastname: Finkelstein
authors.forename: Wendy S
authors.initials: WS
authors.lastname: Looman
authors.forename: Ann W
authors.initials: AW
authors.lastname: Garwick
mesh_terms: D057179:Advanced Practice Nursing; D002648:Child; D003266:Continuity of Patient Care; D006801:Humans; D009740:Nursing Staff
keywords: Children with special health care needs; advanced practice registered nursing; care coordination; children with medical complexity; health care home