0
The Pediatric Forum |

Cost of Care Coordination for Children With Special Health Care Needs—Reply

Gregory S. Liptak, MD, MPH; Christine M. Burns, MBA, MEd; Philip W. Davidson, PhD; Elizabeth McAnarney, MD
Arch Pediatr Adolesc Med. 1999;153(9):1004. doi:.
Text Size: A A A
Published online

Extract

In reply

We are pleased to have the opportunity to respond to the questions raised by Drs Kastner and Walsh, who have conducted research in the area of "disease management." First, we reported our findings encompassing all patients, including outliers. Many of us recall children with cystic fibrosis admitted for a "tune-up" or children with spina bifida who had decubitus ulcers who were hospitalized for months at a time. We included these patients because they result in significant costs to the health care system, and because programs to improve the management of chronic conditions often have the greatest effect on outliers. However, we did repeat the analysis using median rather than mean, which decreases the effect of outliers, and found that the average median length of stay decreased from approximately 30 days in the years between 1984 and 1989 to 5 to 6 days for the years between 1991 and 1996, still a significant decrease, both statistically and programmatically.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();