This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (7)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Medical Practice  • Medical Practice, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

Sharon J. Rolnick, PhD, MPH; Sharon Kaufer Flores, MS; Kristi J. Paulsen, BA; Sarah Thorson, BSW

Arch Pediatr Adolesc Med. 2003;157:273-278.

Objective  To assess 2 established methods of identifying children with special health care needs (CSHCN) within a health plan population for intensified service coordination.

Methods  The tools tested were the Questionnaire for Identifying Children With Chronic Conditions (QuICCC) and the Clinical Risk Grouper (CRG) software. The QuICCC was administered by telephone to the parents of 517 children. The CRG software tool was then applied to the health plan database. The accuracy of identifying the target population was assessed by a single trained reviewer by comparison with the comprehensive medical record.

Results  According to the QuICCC, 37.1% of the parents surveyed had CSHCN. According to the CRG, 11% of the health plan's pediatric population was categorized as CSHCN. The medical record review agreed with overall QuICCC findings in 53% to 61% of cases and overall CRG findings in 66% to 73% of cases.

Conclusions  Administering the QuICCC was a time- and labor-intensive endeavor with a relatively low overall level of sensitivity. The CRG was less labor intensive with slightly higher sensitivity. Identifying the target population in an effective and efficient manner remains a challenge for health plans.

From the HealthPartners Research Foundation, Bloomington, Minn (Dr Rolnick and Mss Flores and Paulsen); and Minnesota Department of Health (Ms Thorson), St Paul.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Bright Futures Training Intervention Project: Implementing Systems to Support Preventive and Developmental Services in Practice
Lannon et al.
Pediatrics 2008;122:e163-e171.
ABSTRACT | FULL TEXT  

Pediatric Hospitalist Comanagement of Surgical Patients: Challenges and Opportunities
Rappaport and Pressel
CLIN PEDIATR 2008;47:114-121.
ABSTRACT  

Being Specific About Being Special: Defining Children's Conditions and Special Health Care Needs
Davis and Brosco
Arch Pediatr Adolesc Med 2007;161:1003-1005.
FULL TEXT  

Definitions and Measurement of Chronic Health Conditions in Childhood: A Systematic Review
van der Lee et al.
JAMA 2007;297:2741-2751.
ABSTRACT | FULL TEXT  

Crossing Community Sectors: Challenges Faced by Families of Children With Special Health Care Needs
Lutenbacher et al.
Journal of Family Nursing 2005;11:162-182.
ABSTRACT