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J Child Neurol. 2014 Feb;29(2):243-6. doi: 10.1177/0883073813500851. Epub 2013 Sep 20.

A case series using a care management checklist to decrease emergency department visits and hospitalizations in children with epilepsy.

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  • 11Division of Child Neurology, Nationwide Children's Hospital, Columbus, OH, USA.


Each year, 1 million people are seen in an emergency department for seizures or epilepsy. We implemented a care management checklist for patients with frequent visits. A database was searched for patients with the highest number of emergency department visits and/or unplanned hospitalizations in 2011. Four patients were selected. A care management checklist was implemented in 2012. Compliance with the office visits, number of emergency department visits and/or hospitalizations, and the associated costs were tracked following implementation of the checklist for 2011 and 2012. These 4 epilepsy patients accounted for 46 visits in the year 2011 with associated health care costs of $380,209. Following a year using a care management checklist, the same patients accounted for 11 visits with a cost reduction of $188,130. Using a care management checklist was useful in these 4 epilepsy patients to decrease emergency department visits and/or unplanned hospitalizations. A limitation of this study is its small numbers.


care management; costs; epilepsy

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