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A Multidisciplinary Approach to Impact Acute Care Utilization in Sickle Cell Disease
source: American Journal of Medical Quality
year: 2017
authors: Rhea E. Powell, MD, MPH, Paris B. Lovett, MD, MBA, Albert Crawford, PhD, MBA, MSIS, John McAna, PhD, David Axelrod, MD, Lawrence Ward, MD, MPH, Dianne Pulte, MD
summary/abstract:Sickle cell disease (SCD), an inherited red blood cell disorder, is characterized by anemia, end-organ damage, unpredictable episodes of pain, and early mortality. Emergency department (ED) visits and hospitalizations are frequent, leading to increased burden on patients and increased health care costs. This study assessed the effects of a multidisciplinary care team intervention on acute care utilization among adults with SCD. The multidisciplinary care team intervention included monthly team meetings and development of individualized care plans. Individualized care plans included targeted pain management plans for management of uncomplicated pain crisis. Following implementation of the multidisciplinary care team intervention, a significant decrease in ED utilization was identified among those individuals with a history of high ED utilization. Findings highlight the potential strength of multidisciplinary interventions and suggest that targeting interventions toward high-utilizing subpopulations may offer the greatest impact.
organization: Thomas Jefferson University, Philadelphia; EMCare, Inc., Dallas; German Cancer Research CenterDOI: 10.1177/1062860617707262
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