Title

Pediatric Case Management: Comparing Two Models

Document Type

Article

Publication Date

Fall 9-2012

Publication Source

Professional Case Management: The International Leader in Evidence-Based Practice

Volume

17

Issue

5

Inclusive pages

209-218

Publisher

WoltersKluwer-Lippincott Williams and Wilkins

Edition/Version

5

Peer Reviewed

yes

Abstract

Purpose of the Study: Case management is a growing and evolving profession. Outcomes-based research that identifies the role of case management is needed in health care today. Case management has been recognized as a way to help patients experience high-quality and cost-effective care. The purpose of this nonexperimental, retrospective research study was to examine two case management models and their effect on patient out- comes, including length of hospital stay and readmission to the hospital within 30 days of discharge with the same diagnosis. Primary Practice Setting: The study was completed at two acute care pediatric hospitals in separate geograph- ical regions of the country. Methodology and Sample: Two case management models were compared by conducting a retrospective patient chart review. Seven hundred pediatric patient charts were reviewed to determine whether the patient outcomes met patient outcomes of interest. All patients were diagnosed with asthma and were between the ages of 2 and 18 years. Results: Analysis of data indicated that the length of hospital stay at Hospital A was significantly shorter than the length of hospital stay for patients admitted to Hospital B. However, hospital readmission rates within 30 days of discharge at Hospital A versus Hospital B indicated no significant difference. Implications for Case Management Practice: Further research that examines different case management models must account for variables such as complexity of disease process, age of patient on admission to the hospital, and relevance of discharge teaching.

Keywords

case management models, hospital readmission, length of stay

Disciplines

Nursing