Outcomes Iowa Department of Human Services的的结果爱荷华人力资源服务部.doc

Attachment A: Literature Matrix CARE COORDINATION Outcomes Reference Type of Intervention Method Utilization Cost Length of Stay Other Strengths Antonelli, R. C., Antonelli, D. M. (2004). Providing a medical home: The cost of care coordination services in a community-based, general pediatric practice. Pediatrics, 113(5), 1522-1528. Care Coordination *Creation of a data collection tool to document care coordination services to CSHCN. Encounters assigned attributes (e.g., typical, nontypical). *Over a period of 95 days, data were collected on 3 separate occasions. All of which were 8-hour work days. *Only care coordination activities lasting more than 5 minutes were counted. *Results based on 774 encounters. *Estimated annual clinic costs for staff time for care coordination based on data. *21% referred for office-based sick visit. 26% of these visits avoided *20% of encounters referred to subspecialist, 4% avoided use of subspecialist *9% referred to lab/x-ray, while 0.3% avoided *5% referred to community agency *2% referred, 1% avoided emergency dept *2% referred for hospital admission *0.4% referred, 1% avoided urgent care *Estimated that based on 25-75th percentile, annual care coordination costs were $22,809 to $33,048 for staff time *Only study found that attempts to estimate the cost of staff time for care coordination. Description of Intervention Limitations Not an intervention. *While calculated based on a formula, these were not studied scientifically. Results may be subjective.  Outcomes Reference Type of Intervention Method Utilization Cost Length of Stay Other Strengths Cherry, J. C., Dryden, K., Kobb, R., Hilsen, P., Nedd, N. (2003). Opening a window of opportunity through technology and coordination: A multisite case study. Telemedicine Journal and E-Health, 9(3), 265-271. Care Coordination *Case study of 3 clinics in south Florida. *Participants included a total of 345 Veterans who were identified as being high cost ($2