A Statewide Case Management, Surveillance, and Outcome Evaluation System for Children with Special Health Care Needs.

Objectives. To evaluate the feasibility of implementing a statewide children with special health care needs (CSHCN) program evaluation, case management, and surveillance system using a standardized instrument and protocol that operationalized the United States Health and Human Services CSHCN Nationa...

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Publicado en:ISRN Nursing pp. 1 - 8
Autores principales: Monsen, Karen A., Elsbernd, Scott A., Barnhart, Linda, Stock, Jacquie, Prock, Carla E., Looman, Wendy S., Nardella, Maria
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2013
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: A Statewide Case Management, Surveillance, and Outcome Evaluation System for Children with Special Health Care Needs.
      aug:
        au:
          Monsen, Karen A.
          Elsbernd, Scott A.
          Barnhart, Linda
          Stock, Jacquie
          Prock, Carla E.
          Looman, Wendy S.
          Nardella, Maria
        affil: University of Minnesota, Minneapolis, MN 55455, USA
      sug:
        subj:
          Case Management
          Special Populations In Infancy and Childhood
          Program Implementation
          Program Evaluation
          Omaha System
          Human
          Descriptive Statistics
          Washington
          Variable
          Growth
          Child Development
          Communication
          Disease Surveillance
          Parenting
          Caregivers
          Income
          Residence Characteristics
          Child Abuse
          Health Services Needs and Demand
          Funding Source
          Child
          Child: 6-12 years
      ab: Objectives. To evaluate the feasibility of implementing a statewide children with special health care needs (CSHCN) program evaluation, case management, and surveillance system using a standardized instrument and protocol that operationalized the United States Health and Human Services CSHCN National Performance Measures. Methods. Public health nurses in local public health agencies in Washington State jointly developed and implemented the standardized system.The instrument was the Omaha System. Descriptive statistics were used for the analysis of standardized data. Results. From the sample of CSHCN visit reports (n = 127), 314 problems and 853 interventions were documented. The most common problem identified was growth and development followed by health care supervision, communication with community resources, caretaking/parenting, income, neglect, and abuse. The most common intervention category was surveillance (60%), followed by case management (24%) and teaching, guidance, and counseling (16%). On average, there were 2.7 interventions per problem and 6.7 interventions per visit. Conclusions.This study demonstrates the feasibility of an approach for statewide CSHCN program evaluation, case management, and surveillance system. Knowledge, behavior, and status ratings suggest that there are critical unmet needs in the Washington State CSHCN population for six major problems.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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