Susan F. Saleeb1, Sarah R. McLaughlin2, Dionne A. Graham2, Kevin G. Friedman1, David R. Fulton1
Congenital Heart Disease, Vol.13, No.1, pp. 46-51, 2018, DOI:10.1111/chd.12539
Abstract Objective: Using a Standardized Clinical Assessment and Management Plan (SCAMP) for pediatric
patients presenting to clinic with chest pain, we evaluated the cost impact associated with
implementation of the care algorithm. Prior to introduction of the SCAMP, we analyzed charges
for 406 patients with chest pain, seen in 2009, and predicted 21% reduction of overall charges
had the SCAMP methodology been used. The SCAMP recommended an echocardiogram for
history, examination, or ECG findings suggestive of a cardiac etiology for chest pain.
Design: Resource utilization was reviewed for 1517 patients (7-21 years) enrolled in the SCAMP
from July 2010 to April… More >
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