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UNC Pediatric Multi Subspecialty Clinic
From:
Department of Pediatrics and Pediatric General Surgery Division,
North Carolina Children's Hospital
Contact:
Alan Stiles, M.D., Chair, Department of Pediatrics
Christine Rabenda, Director of Clinical Research, Department of Pediatrics
Purpose:
Capacity issues at the North Carolina Children's Hospital outpatient specialty clinic contribute to increased emergency room use, transfers for inpatient care, and long delays in outpatient appointments. Children with complex and chronic illness have increasing difficulty accessing diagnostic and management services.
- Provide a community based pediatric multi-subspecialty clinic in Wake County to increase presence of subspecialty care in patient's home community and improve case management.
How:
- Provide consultation to pediatricians for diagnostic problems and management of patients with complex and chronic medical conditions;
- Rotate Pediatric sub-specialists in Gastroenterology, Pulmonology, Allergy, Cardiology, Hematology-Oncology, Rheumatology and Endocrinology through clinic in Wake County;
- Provide financial counseling and assist with public health insurance enrollment;
- Contract for local ancillary services as needed.
Outcome:
- Improve access to pediatric sub-specialty care;
- Reduce wait times for consultation to one week or less;
- Streamline access to procedures at North Carolina Children's Hospital;
- Reduce unnecessary emergency department visits and hospitalizations;
- Greater care collaboration with primary care physicians;
- Self-sustaining operation within 3 years of start-up.
Cost/Term:
$912,556 over three years. September 2007 - August 2010
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