Critical Analysis of Care Coordination Strategies for Children with Special Health Care Needs. Technical Review No. 14

摘要

The goal of this technical review is to critically examine the issue of care coordination for children with special health care needs (CSHCN). Of particular interest is the knowledge base relating to those aspects of care coordination for CSHCN that are of greatest importance to current practice and policy challenges. Among the principal findings are: (1) despite considerable progress in defining care coordination and CSHCN, there remains considerable variation in current analytic approaches and definitions; (2) some progress has been made in developing care coordination strategies for CSHCN; (3) there is a major need to evaluate the impact of these strategies on health outcomes and costs; (4) continued progress in care coordination for CSHCN may depend upon the replication and evaluation of promising strategies in different practice settings and under different reimbursement policies; (5) the constructive assessment of enhanced care coordination programs in managed care systems would be facilitated by new, more focused metrics and performance measures; (6) there is little evidence regarding the impact of managed care systems on CSHCN enrolled in Medicaid.