Keywords

administrative data, care coordination, care management, children, chronic conditions, clinical risk groups (CRGs), health plan, medical home, pediatric, special healthcare needs

Authors

1. Fitzgibbon, Tracy M. BSN, MBA
2. Popalisky, Jean BSN, MN
3. Myers, Kristin AA
4. Neff, John M. MD
5. Sharp, Virginia L. MA

Abstract

This study documents care management services in 2 pediatric clinics for children with or at risk for a chronic condition during 8 months in 2005. Patients were identified by the clinic staff from a list provided by the health plan of patients at risk for or with a chronic condition. Care management services were documented for 161 of 189 selected patients. Services included family support, condition management, medical equipment management, and referrals to specialty care. Pediatric clinical care management activities directly relate to patient care and are complementary to, not duplicative of, case management provided by health plan managers.