Journal article
Development of a Multidisciplinary Medical Home Program for NICU Graduates
Maternal and child health journal, v 24(1)
Jan 2020
PMID: 31745836
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Typical primary care practices are often not equipped to meet the medical, developmental or social needs of infants discharged from a neonatal intensive care unit (NICU). These needs are exacerbated for infants and caregivers residing in poverty. This article discusses a multidisciplinary, family-centered medical home designed to address the needs of this special population.
This is a descriptive analysis of a cohort of patients in the Next Steps Program (NSP), a multidisciplinary primary care medical home. Key program elements include: continuity of care from the NICU to primary care, routine developmental surveillance, care coordination, and proactive screening to address medical and social needs.
The NSP has become a primary referral source for local NICUs, with a total of 549 medically fragile infants enrolled from its inception in 2011 through 2016. Caregivers and patients experience psychosocial stressors at averages statistically significantly higher than the rest of the Commonwealth of Pennsylvania and the US. Although patients in the program use medical resources beyond that of typically developing infants, hospital utilization among this patient cohort is trending down.
Caring for medically fragile NICU graduates can be daunting for families given the array of necessary services, supports, and resources to maximize their potential. A multidisciplinary primary care medical home, such as the NSP, is a successful model of patient care demonstrating favorable associations with health care utilization, care coordination, and addressing/improving family functioning and their experience.
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Details
- Title
- Development of a Multidisciplinary Medical Home Program for NICU Graduates
- Creators
- Katie Feehan - St. Christopher's Hospital for ChildrenFolasade Kehinde - St. Christopher's Hospital for ChildrenKatherine Sachs - St. Christopher's Hospital for ChildrenRoschanak Mossabeb - St. Christopher's Hospital for ChildrenZek Berhane - Drexel UniversityLee M Pachter - Jefferson CollegeSusan Brody - St. Christopher's Hospital for ChildrenRenee M Turchi - Drexel University
- Publication Details
- Maternal and child health journal, v 24(1)
- Publisher
- Springer Nature
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics; Community Health and Prevention
- Web of Science ID
- WOS:000511876000001
- Scopus ID
- 2-s2.0-85075361766
- Other Identifier
- 991019168968804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health