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Little is known about the relationship between receiving primary care in a medical home and unplanned hospital readmissions and emergency department visits among children with special health care needs. Researchers focused on whether children with primary care medical homes were less likely to have unplanned hospital readmissions in the 30 days after hospital discharge. The study also looked at the likelihood of emergency department visits in the 7 days following a hospital discharge. The authors found that one component of a medical home—having a “usual source of sick and well care,”—was the best predictor of avoiding unplanned hospital readmissions. Additionally, readmission rates and emergency department visits were lower among children whose parents reported the most confidence in their child’s continuing good health.

Lead author Ryan Coller, MD, MPH, conducted the study with funding from a Young Investigator Award (YIA) through the Lucile Packard Foundation for Children’s Health.

Related Grants

This policy brief by the National Alliance to Advance Adolescent Health looks at what happens when low-income youth and young adults with chronic conditions and disabilities age out of the Title V Program for Children and Youth with Special Health Care Needs and provides policy recommendations.

This fact sheet from the National Health Law Program is designed to inform families about the steps they can take to appeal decisions about their child’s CCS benefits and highlight key resources available to support the process.