Office of Epidemiology and Research, Division of Research

Advancing Applied MCH Research


Health Systems Research Network for CYSHCN

Funded Projects Search

 
 

Project Number: UA6MC31101
Grantee: Regents of the University of Colorado, The
Department/Center:
Project Date: 09/01/2017
Principal Investigator: Christopher Stille

Final Report

Pending

Age

  • Perinatal/Infancy (0-12 months)
  • Toddlerhood (13-35 months)
  • Early Childhood (3-5 years)
  • Middle Childhood (6-11 years)
  • Adolescence (12-18 years)
  • Young Adulthood (19-25 years)

Targeted/Underserved Population

  • Special Health Care Needs

Abstract

Problem. Children and youth with special health care needs (CYSHCN) deserve a better health care system. The MCHB Core Elements and AMCHP Standards of Care were designed to stimulate health system improvement for CYSHCN. Rigorous multi-site research on system interventions related to the Elements and Standards is urgently needed. Goals. We propose to (1) create a national, family-engaged CYSHCN research network through integration and alignment of CYSHCN experts; development and sharing of valuable Network assets; and vesting authority in CYSHCN & families at all levels; (2) advance knowledge of optimal health systems for CYSHCN, by establishing a national research agenda to catalyze investigation; conducting multi-site health systems research on CYSHCN; disseminating findings to inspire health system improvements; and sustaining and scaling research activities with external funding; and (3) train emerging CYSHCN investigators, by enhancing research training of emerging investigators; building strong intra and cross-institutional mentoring; and sparking emerging investigator projects with Network funds. Proposed Activities and Target Population. We will create a robust, inclusive, research infrastructure, with a National Coordinating Center (NCC) and three Collaborative Research Entities (CREs), and a Secondary Data Center, at its core, with governance modeled after existing, national research networks. We will engage families as partners at all levels. With diverse stakeholders, we will establish a research agenda that prioritizes the most critical research topics in systems of care for CYSHCN and carry out such research on a national scale. In the first 5 years, we will conduct at least 3 multisite prospective studies on health systems, with the goal of obtaining external funding for each, and 10 retrospective studies on populationbased databases. Targeted populations will include YSHCN, those with medical complexity, and vulnerable racial/ethnic and socioeconomic groups. Finally, we will establish a national training program with the triad of integrated curriculum, mentorship, and small grant funding. Coordination. An Executive Committee (EC) and Steering Committee (SC) of Network leadership and representatives from the NCC and CREs will set policy and oversee Network activities, in cooperation with MCHB. CREs will provide the primary settings for initial projects. Products. (1) Well-coordinated infrastructure to support family-engaged multi-site studies; (2) A published national research agenda; (3) At least 13 manuscripts reporting findings; 4) A website, webinars, and local and national presentations to disseminate findings; 5) For emerging researchers, curriculum delivery, a mentorship network, and yearly small grant program. Evaluation. Adapt existing assessments of network effectiveness, review progress semiannually and compare to objectives set by the SC; and evaluate each objective against specified goals. Quality improvement methods will be used to identify strategies to overcome missed targets.

Publications

Listed is descending order by year published.

Berry JG, Gay JC, Joynt Maddox K, Coleman EA, Bucholz EM, O'Neill MR, Blaine K, Hall M. Age trends in 30 day hospital readmissions: US national retrospective analysis. BMJ. 2018 Fe 27;360;k497

Blaine K, Rogers J, O'Neill MR, McBride S, Faerber J, Feudtner C, Berry JG. Clinician Perceptions of the Importance of Hospital Discharge Components for Children. J Healthc Qual. 2018 Mar/Apr;40(2):79-88.

Ethical Framework for Risk Stratification and Mitigation Programs for Children with Medical Complexity. Feudtner C, Schall T, Nathanson P, Berry J. Pediatrics. 2018 Mar;141 (Suppl3):S250-S258.

Gay JC, Zima BT, Coker TR, Doupnik SK, Hall M, Rodean J, O'Neill M, Morse R, Rehm KP, Berry JG, Bardach NS. Postacute Care after Pediatric Hospitalizations for a Primary Mental Health Condition. J Pediatr. 2018 Feb; 193:222-228.e1.

Kuo DZ, Berry JG, Hall M, Lyle RE, Stille CJ. Health-care spending and utilization for children discharge3d from a neonatal intensive care unit. J Perinatol. 2018 Feb 15. doi: 5. PMID 29449613

Length of Stay and Cost of Pediatric Readmissions. Markham JL, Hall M, Gay JC, Bettenhausen JL, Berry JG. Pediatrics. 2018 Apr;141(4).

Mahant S, Berry JG, Kimberlin DW. Neonatal HSV Disease: Balancing the Low Incidence with the Need to Treat Promptly. Pediatrics. 2018 Feb;141(2).

Rehm KP, Brittan MS, Stephens JR, Mummidi P, Steiner MJ, Gay JC, Ayubi SA, Gujral N, Mittal V, Dunn K, Chiang V, Hall M, Blaine K, O'Neill M, McBride S, Rogers J, Berry JG. Issues Identified by Postdischarge Contact after Pediatric Hospitalization: A Multisite Study. J Hosp Med. 2018 Feb 2;13(4):236-242.

Russell CJ, Thurm C, Hall M, Simon TD, Neely MN, Berry JG. Risk Factors for Hospitalizations due to bacterial respiratory tract infections after tracheotomy. Pediatr Pulmonol. 2018 Mar;53(3):349-357.

Samuels-Kalow M, Peltz A, Rodean J, Hall M, Alpern ER, Aronson PL, Berry JG, Shaw KN, Morse RB, Freedman SB, Cohen E, Simon HK, Shah SS, Katsogridakis Y, Neuman MI. Predicting Low-Resource-Intensity Emergency Department Visits in Children. Acad Pediatr. 2018 Apr; 18(3):297-304.

O'Brien JE, Dumas HM, Fragala-Pinkham MA, Berry JG. Admissions to Acute Care within 30 and 90 Days of Discharge Home from a Pediatric Post-acute Care Hospital. Hosp Pediatr. 2017 Nov;7(11):682-685.

Status Complexicus? The Emergence of Pediatric Complex Care. Cohen E, Berry JG, Sanders L, Schor EL, and Wise PH. Pediatrics 2018;141;S202.

Keywords

CYSHCN, Integration of Care

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