Oregon Health & Science’s Doernbecher Children’s Hospital is a top academic teaching pediatric hospital in the United States. The Pediatric Outpatient Parenteral Antibiotic Therapy (OPAT) program is a subspecialty practice which serves pediatric patients who are discharged and sent home with IV or oral antibiotics to complete treatment of their serious infection. In the pediatric setting, the OPAT program uses care coordination to enhance care for children and youth and collaborates closely with the patient’s primary care and / or subspecialty medical home. The OPAT program utilized the Care Coordination Measurement Tool (CCMT) to justify value of the program to hospital administration, including prevented hospital readmissions and reduction of emergency room visits.

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Implementation Insights*

  • Communication is key. Check in regularly with families, other care providers and home health staff via telephone to stay up to date on patient care and health status.
  • Utilize the CCMT to measure how staff time and other resources are being used on care coordination activities. Identify strengths, weaknesses, opportunities, and needed resources to optimize patient-centered care, as well as roles and level of licensure required to provide that care.
  • Adapt by aligning non-billable care coordination activities to additionally hired staff or to other existing hospital services, if possible.

​*These implementation insights resulted from utilization of the CCMT.

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American Academy of Pediatrics