The Pediatric Home Care/Expenditure Classification Model (P/ECM): A Home Care Case-Mix Model for Children Facing Special Health Care Challenges

The Pediatric Home Care/Expenditure Classification Model (P/ECM): A Home Care Case-Mix Model for Children Facing Special Health Care Challenges

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Case-mix classification and payment systems help assure that persons with similar needs receive similar amounts of care resources, which is a major equity concern for consumers, providers, and programs.Although health service programs for adults regularly use case-mix payment systems, programs providing health services to children and youth rarely use such models.This research utilized Medicaid home care expenditures and 3 Piece King Bookcase Bed w/Storage Footboard assessment data on 2,578 children receiving home care in one large state in the USA.

Using classification and regression tree analyses, a case-mix model for long-term pediatric home care was developed.The Pediatric Home Care/Expenditure Classification Model (P/ECM) grouped children and youth in the study sample into 24 groups, Goalie - Throat Guards explaining 41% of the variance in annual home care expenditures.The P/ECM creates the possibility of a more equitable, and potentially more effective, allocation of home care resources among children and youth facing serious health care challenges.