Effect of Patient Care Coordination on Hospital Encounters and Related Costs

Breckenridge, Ellen D.; Kite, Bobbie; Wells, Raymond O.; Sunbury, Tenaya

doi:10.1089/pop.2018.0176

Cited by 12 publications

(9 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some studies find better patient-reported coordination of care to be positively associated with more effective delivery of preventive care in the same clinical practice 18 and with a lower probability of hospitalization following receipt of coordination of care services. 19 Others find no effect of better care coordination on patients' outpatient visits, hospital admissions, or emergency department use 20 or with patients' health-related functioning. 21 Inconsistent findings may be related to limited overlap between the providers assessed in the patient survey and those included in the measured care process in some studies.…”

Section: Introductionmentioning

confidence: 99%

Patient-Reported Care Coordination is Associated with Better Performance on Clinical Care Measures

et al. 2021

View full text Add to dashboard Cite

BACKGROUND: Prior studies using aggregated data suggest that better care coordination is associated with higher performance on measures of clinical care process; it is unclear whether this relationship reflects care coordination activities of health plans or physician practices. OBJECTIVE: Estimate within-plan relationships between beneficiary-reported care coordination measures and HEDIS measures of clinical process for the same individuals. DESIGN: Mixed-effect regression models in crosssectional data. PARTICIPANTS: 2013 Medicare Advantage CAHPS respondents (n=152,069) with care coordination items linked to independently collected HEDIS data on clinical processes. MAIN MEASURES: Care coordination measures assessed follow-up, whether doctors had medical records during visits, whether doctors discussed medicines being taken, how informed doctors seemed about specialist care, and help received with managing care among different providers. HEDIS measures included mammography, colorectal cancer screening, cardiovascular LDL-C screening, controlling blood pressure, 5 diabetes care measures (LDL-C screening, retinal eye exam, nephropathy, blood sugar/HbA1c <9%, LCL-C<100 mg/dL), glaucoma screening in older adults, BMI assessment, osteoporosis management for women with a fracture, and rheumatoid arthritis therapy. KEY RESULTS: For 9 of the 13 HEDIS measures, within health plans, beneficiaries who reported better care coordination also received better clinical care (p<0.05) and none of the associations went in the opposite direction; HEDIS differences between those with excellent and poor coordination exceeded 5 percentage points for 7 measures. Nine measures had positive associations (breast cancer screening, colorectal cancer screening, cardiovascular care LDL-C screening, 4 of 5 diabetes care measures, osteoporosis management, and rheumatoid arthritis therapy). CONCLUSIONS: Within health plans, beneficiaries who report better care coordination also received higherquality clinical care, particularly for care processes that entail organizing patient care activities and sharing information among different healthcare providers. These results extend prior research showing that health plans with better beneficiary-reported care coordination achieved higher HEDIS performance scores.

show abstract

Section: Introductionmentioning

confidence: 99%

Patient-Reported Care Coordination is Associated with Better Performance on Clinical Care Measures

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The current study does not evaluate the impact of the program on key medical outcomes and metrics, including cost-effectiveness. Care coordination programs have been shown to decrease the healthcare costs for children with special healthcare needs and other populations with high utilization 32,33. With the emergence of value-based payments, healthcare systems may be incentivized to include care coordination for patients with high utilization.…”

Section: Discussionmentioning

confidence: 99%

Family and Provider Experiences With Longitudinal Care Coordination for Infants With Medical Complexity

Dallas

Ryan

Mestan

et al. 2022

Advances in Neonatal Care

View full text Add to dashboard Cite

Background: Parents in the neonatal intensive care unit (NICU) report low self-confidence managing their children's ongoing medical and social needs. While bedside nurses provide critical support for families throughout their NICU admission, there may be a role for nursing coordination throughout hospitalization, discharge, and in the transition to outpatient care. Purpose: This program evaluation explores parent and provider experiences of a novel longitudinal care coordination program for infants with medical complexity from the NICU through their first year of life post-discharge. Methods: First, a sequential exploratory mixed-methods approach was used to evaluate parental experiences (n = 5 interviewed followed by n = 23 surveyed). Provider perspectives were elicited through semi-structured interviews (n = 8) and focus groups (n = 26 in 3 groups). Results: Parent-reported benefits included frequent communication and personalized support that met families' and patients' evolving needs. Care coordinators, who were trained as nurses and social workers, developed longitudinal relationships with parents. This seemed to facilitate individualized support throughout the first year of life. Providers reported that smaller caseloads were central to the success of the program. Implications for Practice and Research: This longitudinal care coordination program can be used as a translatable model in NICUs elsewhere to address the unique needs of families of infants with medical complexity throughout the first year of life. Future implementations should consider how to expand program size while maintaining individualized supports. As the care coordinators are former NICU nurses and social workers, there may be a growing role for nursing coordination of care in the neonatal population.

show abstract

“…Care coordination has been found to improve patients’ satisfaction with care, disease control, quality of life, quality of care, frequency of hospitalizations, and healthcare costs 7,8 . Beginning in 2010, value-based payment models, like Accountable Care Organizations supported by many private insurers, encourage providers’ engagement in care coordination through reimbursements 9 .…”

mentioning

confidence: 99%

Primary Care Physicians’, Psychiatrists’, and Oncologists’ Coordination While Prescribing Medications for Patients With Multiple Chronic Conditions

McDaniel

Chou²,

Camp

et al. 2022

J Patient Saf

View full text Add to dashboard Cite

ObjectivesCoordination of medication prescribing is important in the care of patients with multiple chronic conditions (MCC) given the involvement of multiple providers and multiple medications used to manage MCC. The objective of this study was to identify physician and practice factors associated with physicians’ coordination of prescribing for complex patients with MCC.MethodsOur cross-sectional study used a 33-item anonymous, online survey to assess physicians’ coordination practices while prescribing for patients with MCC. We sampled primary care physicians (PCPs), psychiatrists, and oncologists across the United States. Coordination of medication prescribing was measured on a 7-point Likert-type scale. χ2, Fisher exact test, and binomial logistic regression, adjusted for factors and covariates, were used to determine differences in coordination of prescribing. Average marginal effects were calculated for factors.ResultsA total of 50 PCPs, 50 psychiatrists, and 50 oncologists participated. Most psychiatrists (56%) and oncologists (52%) reported frequently coordinating prescribing with other physicians, whereas less than half of the PCPs (42%) reported frequently coordinating prescribing. Female physicians were 25% points more likely to report coordinating prescribing than male physicians (P = 0.0186), and physicians not using electronic medical records were 30% points more likely to report coordinating prescribing than physicians using electronic medical records (P = 0.0230). Four additional factors were associated with lower likelihood of coordinating prescribing.ConclusionsPhysician and practice factors may influence differences in coordination of medication prescribing, despite physician specialty. These factors can provide a foundation for developing interventions to improve coordination of prescribing practices for MCC.

show abstract

Effect of Patient Care Coordination on Hospital Encounters and Related Costs

Cited by 12 publications

References 32 publications

Patient-Reported Care Coordination is Associated with Better Performance on Clinical Care Measures

Patient-Reported Care Coordination is Associated with Better Performance on Clinical Care Measures

Family and Provider Experiences With Longitudinal Care Coordination for Infants With Medical Complexity

Primary Care Physicians’, Psychiatrists’, and Oncologists’ Coordination While Prescribing Medications for Patients With Multiple Chronic Conditions

Contact Info

Product

Resources

About