PMID- 34374481
OWN - NLM
STAT- MEDLINE
DCOM- 20220419
LR  - 20220429
IS  - 1744-6155 (Electronic)
IS  - 1539-0136 (Linking)
VI  - 27
IP  - 1
DP  - 2022 Jan
TI  - Lessons learned in the development of a nurse-led family centered approach to 
      developing a holistic comprehensive clinic and integrative holistic care plan for 
      children with cerebral palsy.
PG  - e12354
LID - 10.1111/jspn.12354 [doi]
AB  - CLINICAL PROBLEM: Children with cerebral palsy (CP) typically receive care from 
      multiple specialty providers including Developmental Pediatrics, Orthopedics, 
      Physical Medicine, Occupational Therapy, Physical Therapy, Speech Therapy, 
      Clinical Social Work, Clinical Nutrition, Nursing and Orthotists, which often 
      require many individual visits to the hospital annually. The potential for 
      conflicting plans of care is increased by this fragmented approach, which may 
      lead to duplication of services and increased healthcare costs. SOLUTION: To 
      address the problem and alleviate burden for families, the Comprehensive Cerebral 
      Palsy Program implemented a nurse-led comprehensive interdisciplinary team 
      approach to provide optimal care coordination to patients and families, using an 
      Integrative Holistic Care Plan (IHCP). During an annual 3-4 hour Comprehensive CP 
      Clinic appointment, a team of specialists meets with the family, and a holistic, 
      evidence-based plan of care is developed. The family-centered care plan includes 
      summaries of each discipline's plan of care with individualized goals, 
      recommendations, and evidence-based outcomes. After the visit, the plan of care 
      is communicated with the family, primary care provider, and other community 
      providers to ensure continuity of care. RESULTS: Early in the program and 
      electronic IHCP development stage, clinical, and financial outcomes were 
      improved. In addition to significant cost savings, family satisfaction surveys 
      showed continuous improvement in the areas of access, communication, and 
      coordination of care. PRACTICE IMPLICATIONS: Nurses working in interdisciplinary 
      clinics are in a position to facilitate improved outcomes by developing and 
      implementing a family-centered care plan that provides a comprehensive holistic 
      approach to impacting the areas of quality, effectiveness, and efficiency of care 
      delivery. The use of an IHCP decreases fragmentation of care and duplication of 
      services leading to healthcare cost savings and enhanced patient satisfaction.
CI  - (c) 2021 Wiley Periodicals LLC.
FAU - Love, Lamara
AU  - Love L
AUID- ORCID: 0000-0002-6315-5902
AD  - Comprehensive Cerebral Palsy Program, Nationwide Children's Hospital, Columbus, 
      Ohio, USA.
FAU - Newmeyer, Amy
AU  - Newmeyer A
AD  - The Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, 
      Ohio, USA.
FAU - Ryan-Wenger, Nancy
AU  - Ryan-Wenger N
AUID- ORCID: 0000-0002-4925-2159
AD  - The Ohio State University College of Nursing, Columbus, Ohio, USA.
FAU - Noritz, Garey
AU  - Noritz G
AUID- ORCID: 0000-0001-7308-3810
AD  - Comprehensive Cerebral Palsy Program, Nationwide Children's Hospital, Columbus, 
      Ohio, USA.
FAU - Skeens, Micah A
AU  - Skeens MA
AUID- ORCID: 0000-0001-6786-8128
AD  - Comprehensive Cerebral Palsy Program, Nationwide Children's Hospital, Columbus, 
      Ohio, USA.
AD  - Professional Development, Nationwide Children's Hospital, Columbus, Ohio, USA.
LA  - eng
PT  - Journal Article
DEP - 20210809
PL  - United States
TA  - J Spec Pediatr Nurs
JT  - Journal for specialists in pediatric nursing : JSPN
JID - 101142025
SB  - IM
MH  - *Cerebral Palsy
MH  - Child
MH  - Hospitals
MH  - Humans
MH  - Nurse's Role
MH  - Patient Satisfaction
OTO - NOTNLM
OT  - *care plan
OT  - *cerebral palsy
OT  - *comprehensive clinic
OT  - *fragmentation
OT  - *healthcare costs
OT  - *holistic
OT  - *interdisciplinary
OT  - *nurse-led
EDAT- 2021/08/11 06:00
MHDA- 2022/04/20 06:00
CRDT- 2021/08/10 09:26
PHST- 2021/07/22 00:00 [revised]
PHST- 2020/12/23 00:00 [received]
PHST- 2021/07/29 00:00 [accepted]
PHST- 2021/08/11 06:00 [pubmed]
PHST- 2022/04/20 06:00 [medline]
PHST- 2021/08/10 09:26 [entrez]
AID - 10.1111/jspn.12354 [doi]
PST - ppublish
SO  - J Spec Pediatr Nurs. 2022 Jan;27(1):e12354. doi: 10.1111/jspn.12354. Epub 2021 
      Aug 9.