Work-Sampling Study of an Innovative Care Coordination Program Aimed at Children With Chronic Health Conditions.

Autor:	Talon B; Brian Talon, PharmD, is currently a graduate student pursuing his PhD in Pharmacoeconomics and Outcomes Research. His research interests include economic evaluations of pharmaceuticals and health care services.; Michael Gerges, MA-LCPC, is an Illinois licensed clinical professional counselor. He is responsible for the oversight and operation of the Mental Health Team.; Kenita Perry-Bell, MSW, LCSW, was the Director of Care Coordination for the CHECK program where she oversaw the activities and management of care coordinators and community health workers.; Rachel N. Caskey, MD, MAPP, is an internist and pediatrician and provides primary care for all ages. She is also a health services researcher with an interest in improving national vaccination efforts. She has an appointment at UIC School of Public Health and is a member of the UIC Cancer Center.; Benjamin Van Voorhees, MD, MPH, is the Chief of General Pediatrics and Adolescent Medicine. He and his colleagues are working in numerous ways each day to uphold the UIC Health Pediatrics commitment to providing high-quality health care to a diverse population. He is currently spearheading the movement to advance the Medical Home Model at the Children's Hospital UIC.; Molly A. Martin, MD, MAPP, is a practicing pediatrician and faculty member of the Department of Pediatrics in the UIC College of Medicine. She conducts health disparities research through the Institute for Health Research and Policy, where she is a fellow, and she focuses on community models to improve health.; Daniel R. Touchette, PharmD, MA, is a professor in the Department of Pharmacy Systems, Outcomes and Policy in the UIC College of Pharmacy. His research focuses on assessing the effectiveness and cost-effectiveness of clinical pharmacists, health practitioner services, and pharmaceutical agents using decision modeling and naturalistic clinical trials., Gerges M; Brian Talon, PharmD, is currently a graduate student pursuing his PhD in Pharmacoeconomics and Outcomes Research. His research interests include economic evaluations of pharmaceuticals and health care services.; Michael Gerges, MA-LCPC, is an Illinois licensed clinical professional counselor. He is responsible for the oversight and operation of the Mental Health Team.; Kenita Perry-Bell, MSW, LCSW, was the Director of Care Coordination for the CHECK program where she oversaw the activities and management of care coordinators and community health workers.; Rachel N. Caskey, MD, MAPP, is an internist and pediatrician and provides primary care for all ages. She is also a health services researcher with an interest in improving national vaccination efforts. She has an appointment at UIC School of Public Health and is a member of the UIC Cancer Center.; Benjamin Van Voorhees, MD, MPH, is the Chief of General Pediatrics and Adolescent Medicine. He and his colleagues are working in numerous ways each day to uphold the UIC Health Pediatrics commitment to providing high-quality health care to a diverse population. He is currently spearheading the movement to advance the Medical Home Model at the Children's Hospital UIC.; Molly A. Martin, MD, MAPP, is a practicing pediatrician and faculty member of the Department of Pediatrics in the UIC College of Medicine. She conducts health disparities research through the Institute for Health Research and Policy, where she is a fellow, and she focuses on community models to improve health.; Daniel R. Touchette, PharmD, MA, is a professor in the Department of Pharmacy Systems, Outcomes and Policy in the UIC College of Pharmacy. His research focuses on assessing the effectiveness and cost-effectiveness of clinical pharmacists, health practitioner services, and pharmaceutical agents using decision modeling and naturalistic clinical trials., Perry-Bell K; Brian Talon, PharmD, is currently a graduate student pursuing his PhD in Pharmacoeconomics and Outcomes Research. His research interests include economic evaluations of pharmaceuticals and health care services.; Michael Gerges, MA-LCPC, is an Illinois licensed clinical professional counselor. He is responsible for the oversight and operation of the Mental Health Team.; Kenita Perry-Bell, MSW, LCSW, was the Director of Care Coordination for the CHECK program where she oversaw the activities and management of care coordinators and community health workers.; Rachel N. Caskey, MD, MAPP, is an internist and pediatrician and provides primary care for all ages. She is also a health services researcher with an interest in improving national vaccination efforts. She has an appointment at UIC School of Public Health and is a member of the UIC Cancer Center.; Benjamin Van Voorhees, MD, MPH, is the Chief of General Pediatrics and Adolescent Medicine. He and his colleagues are working in numerous ways each day to uphold the UIC Health Pediatrics commitment to providing high-quality health care to a diverse population. He is currently spearheading the movement to advance the Medical Home Model at the Children's Hospital UIC.; Molly A. Martin, MD, MAPP, is a practicing pediatrician and faculty member of the Department of Pediatrics in the UIC College of Medicine. She conducts health disparities research through the Institute for Health Research and Policy, where she is a fellow, and she focuses on community models to improve health.; Daniel R. Touchette, PharmD, MA, is a professor in the Department of Pharmacy Systems, Outcomes and Policy in the UIC College of Pharmacy. His research focuses on assessing the effectiveness and cost-effectiveness of clinical pharmacists, health practitioner services, and pharmaceutical agents using decision modeling and naturalistic clinical trials., Caskey RN; Brian Talon, PharmD, is currently a graduate student pursuing his PhD in Pharmacoeconomics and Outcomes Research. His research interests include economic evaluations of pharmaceuticals and health care services.; Michael Gerges, MA-LCPC, is an Illinois licensed clinical professional counselor. He is responsible for the oversight and operation of the Mental Health Team.; Kenita Perry-Bell, MSW, LCSW, was the Director of Care Coordination for the CHECK program where she oversaw the activities and management of care coordinators and community health workers.; Rachel N. Caskey, MD, MAPP, is an internist and pediatrician and provides primary care for all ages. She is also a health services researcher with an interest in improving national vaccination efforts. She has an appointment at UIC School of Public Health and is a member of the UIC Cancer Center.; Benjamin Van Voorhees, MD, MPH, is the Chief of General Pediatrics and Adolescent Medicine. He and his colleagues are working in numerous ways each day to uphold the UIC Health Pediatrics commitment to providing high-quality health care to a diverse population. He is currently spearheading the movement to advance the Medical Home Model at the Children's Hospital UIC.; Molly A. Martin, MD, MAPP, is a practicing pediatrician and faculty member of the Department of Pediatrics in the UIC College of Medicine. She conducts health disparities research through the Institute for Health Research and Policy, where she is a fellow, and she focuses on community models to improve health.; Daniel R. Touchette, PharmD, MA, is a professor in the Department of Pharmacy Systems, Outcomes and Policy in the UIC College of Pharmacy. His research focuses on assessing the effectiveness and cost-effectiveness of clinical pharmacists, health practitioner services, and pharmaceutical agents using decision modeling and naturalistic clinical trials., Van Voorhees B; Brian Talon, PharmD, is currently a graduate student pursuing his PhD in Pharmacoeconomics and Outcomes Research. His research interests include economic evaluations of pharmaceuticals and health care services.; Michael Gerges, MA-LCPC, is an Illinois licensed clinical professional counselor. He is responsible for the oversight and operation of the Mental Health Team.; Kenita Perry-Bell, MSW, LCSW, was the Director of Care Coordination for the CHECK program where she oversaw the activities and management of care coordinators and community health workers.; Rachel N. Caskey, MD, MAPP, is an internist and pediatrician and provides primary care for all ages. She is also a health services researcher with an interest in improving national vaccination efforts. She has an appointment at UIC School of Public Health and is a member of the UIC Cancer Center.; Benjamin Van Voorhees, MD, MPH, is the Chief of General Pediatrics and Adolescent Medicine. He and his colleagues are working in numerous ways each day to uphold the UIC Health Pediatrics commitment to providing high-quality health care to a diverse population. He is currently spearheading the movement to advance the Medical Home Model at the Children's Hospital UIC.; Molly A. Martin, MD, MAPP, is a practicing pediatrician and faculty member of the Department of Pediatrics in the UIC College of Medicine. She conducts health disparities research through the Institute for Health Research and Policy, where she is a fellow, and she focuses on community models to improve health.; Daniel R. Touchette, PharmD, MA, is a professor in the Department of Pharmacy Systems, Outcomes and Policy in the UIC College of Pharmacy. His research focuses on assessing the effectiveness and cost-effectiveness of clinical pharmacists, health practitioner services, and pharmaceutical agents using decision modeling and naturalistic clinical trials., Martin MA; Brian Talon, PharmD, is currently a graduate student pursuing his PhD in Pharmacoeconomics and Outcomes Research. His research interests include economic evaluations of pharmaceuticals and health care services.; Michael Gerges, MA-LCPC, is an Illinois licensed clinical professional counselor. He is responsible for the oversight and operation of the Mental Health Team.; Kenita Perry-Bell, MSW, LCSW, was the Director of Care Coordination for the CHECK program where she oversaw the activities and management of care coordinators and community health workers.; Rachel N. Caskey, MD, MAPP, is an internist and pediatrician and provides primary care for all ages. She is also a health services researcher with an interest in improving national vaccination efforts. She has an appointment at UIC School of Public Health and is a member of the UIC Cancer Center.; Benjamin Van Voorhees, MD, MPH, is the Chief of General Pediatrics and Adolescent Medicine. He and his colleagues are working in numerous ways each day to uphold the UIC Health Pediatrics commitment to providing high-quality health care to a diverse population. He is currently spearheading the movement to advance the Medical Home Model at the Children's Hospital UIC.; Molly A. Martin, MD, MAPP, is a practicing pediatrician and faculty member of the Department of Pediatrics in the UIC College of Medicine. She conducts health disparities research through the Institute for Health Research and Policy, where she is a fellow, and she focuses on community models to improve health.; Daniel R. Touchette, PharmD, MA, is a professor in the Department of Pharmacy Systems, Outcomes and Policy in the UIC College of Pharmacy. His research focuses on assessing the effectiveness and cost-effectiveness of clinical pharmacists, health practitioner services, and pharmaceutical agents using decision modeling and naturalistic clinical trials., Touchette DR; Brian Talon, PharmD, is currently a graduate student pursuing his PhD in Pharmacoeconomics and Outcomes Research. His research interests include economic evaluations of pharmaceuticals and health care services.; Michael Gerges, MA-LCPC, is an Illinois licensed clinical professional counselor. He is responsible for the oversight and operation of the Mental Health Team.; Kenita Perry-Bell, MSW, LCSW, was the Director of Care Coordination for the CHECK program where she oversaw the activities and management of care coordinators and community health workers.; Rachel N. Caskey, MD, MAPP, is an internist and pediatrician and provides primary care for all ages. She is also a health services researcher with an interest in improving national vaccination efforts. She has an appointment at UIC School of Public Health and is a member of the UIC Cancer Center.; Benjamin Van Voorhees, MD, MPH, is the Chief of General Pediatrics and Adolescent Medicine. He and his colleagues are working in numerous ways each day to uphold the UIC Health Pediatrics commitment to providing high-quality health care to a diverse population. He is currently spearheading the movement to advance the Medical Home Model at the Children's Hospital UIC.; Molly A. Martin, MD, MAPP, is a practicing pediatrician and faculty member of the Department of Pediatrics in the UIC College of Medicine. She conducts health disparities research through the Institute for Health Research and Policy, where she is a fellow, and she focuses on community models to improve health.; Daniel R. Touchette, PharmD, MA, is a professor in the Department of Pharmacy Systems, Outcomes and Policy in the UIC College of Pharmacy. His research focuses on assessing the effectiveness and cost-effectiveness of clinical pharmacists, health practitioner services, and pharmaceutical agents using decision modeling and naturalistic clinical trials.
Jazyk:	angličtina
Zdroj:	Professional case management [Prof Case Manag] 2020 Nov/Dec; Vol. 25 (6), pp. 324-334.
DOI:	10.1097/NCM.0000000000000430
Abstrakt:	Purpose of Study: To estimate time allocation and labor cost for care coordinators (CCs), community health workers (CHWs), and mental health workers (MHWs) to conduct care coordination tasks in a pediatric care coordination program. Primary Practice Setting: A public tertiary academic medical center in Chicago, IL. Methodology and Sample: A work-sampling study was conducted using a text message-based survey on 5 CCs, 20 CHWs, and 4 MHWs who volunteered to participate. Workers were randomly sampled within working hours to collect information on who was the subject of interaction and what service was being delivered over a 6-month period. Time allocation of workers to different subjects and services was summarized using descriptive statistics. Results: Care coordinators allocated 41% of their time to managing CHW teams. Community health workers allocated 37% of time providing services directly to children and 26% to the parent/caregiver. Mental health workers allocated 16% of time providing services to children and 29% to the parent/caregiver. The care coordination program serviced 5,965 patients, with a total annual labor cost of $1,455,353. Implications for Case Management Practice: Community health workers spent the majority of time working with patients and their families to conduct assessments. Mental health workers primarily addressed children's needs through their caregivers. Care coordinators primarily supported CHWs in coordinating care. Results may be used to inform development of such programs by determining services most often utilized, and labor cost may be used to inform program implementation and reimbursement.
Databáze:	MEDLINE
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