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    ARTICLE

    Impact of standardized clinical assessment and management plans on resource utilization and costs in children after the arterial switch operation

    Rahul H. Rathod1,2, Brittney Jurgen1,2, Rose A. Hamershock3, Kevin G. Friedman1,2, Audrey C. Marshall1,2, Mihail Samnaliev4, Dionne A. Graham3, Kathy Jenkins1,2, James E. Lock1,2, Andrew J. Powell1,2

    Congenital Heart Disease, Vol.12, No.6, pp. 768-776, 2017, DOI:10.1111/chd.12508

    Abstract Background: Standardized Clinical Assessment and Management Plans (SCAMPs) are a quality improvement initiative designed to reduce unnecessary utilization, decrease practice variation, and improve patient outcomes. We created a novel methodology, the SCAMP managed episode of care (SMEOC), which encompasses multiple encounters to assess the impact of the arterial switch operation (ASO) SCAMP on total costs.
    Methods: All ASO SCAMP patients (dates March 2009 to July 2015) were compared to a control group of ASO patients (January 2001 to February 2009). Patients were divided into “younger” (<2 years) and “older” (2–18 years) subgroups. Utilization included all cardiology visits, tests, and procedures.… More >

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