An evaluation of care coordination in controlling inpatient hospital utilization of people with developmental disabilities

T. Criscione, K. K. Walsh, Theodore A. Kastner

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

All admissions of people with developmental disabilities to a community hospital over 3 years were examined to evaluate the impact of a coordinated care model on length of stay and hospital charges. Admissions were divided into two groups, those receiving either coordinated care (program group) or routine care by community physicians (usual care group). The program group had shorter average lengths of stay and lower hospital charges than did the usual care group, especially when charges were adjusted for case mix. Similarity of severity across the groups was measured by number of discharge diagnoses and Medicaid case weights. Over the 3 years, for the 115 admissions in the program group, these differences amounted to more than $200,000 in potentially unnecessary hospital charges. Implications of care coordination services for community-based health care planning were presented.

Original languageEnglish (US)
Pages (from-to)364-373
Number of pages10
JournalMental Retardation
Volume33
Issue number6
StatePublished - 1995
Externally publishedYes

Fingerprint

Hospital Charges
Developmental Disabilities
Disabled Persons
Inpatients
disability
utilization
Length of Stay
evaluation
Community Health Services
Health Planning
Group
Diagnosis-Related Groups
Community Hospital
Medicaid
Physicians
Weights and Measures
community
physician
health care
planning

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)
  • Education

Cite this

An evaluation of care coordination in controlling inpatient hospital utilization of people with developmental disabilities. / Criscione, T.; Walsh, K. K.; Kastner, Theodore A.

In: Mental Retardation, Vol. 33, No. 6, 1995, p. 364-373.

Research output: Contribution to journalArticle

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