join the movement
Join the constipation co-management movement! Primary care providers and gastroenterologists have joined forces to improve outcomes and lower costs for children with functional constipation. Collaboration is the name of the game when it comes to developing co-management programs in the clinically integrated network (CIN).
what is a clinically integrated network?
Dayton Children’s Health Partners (DCHP) is a pediatric clinically integrated network that has created collaborative partnerships with the hospital and specialists, community-based practices and payers to focus on improving outcomes for patients, increasing efficiency and lowering costs. Dayton Children’s Health Partners is the region’s only pediatric-specific collaborative focusing on quality and value across the care continuum.
what is co-management?
Co-management programs are quality improvement projects developed for a specific condition such as constipation. The goal of any co-management program is to help educate & support primary care providers to manage & treat a specific condition in the primary care setting. In other words, the goal is the right care, at the right time, in the right place, at the right cost. With constipation co-management, gastroenterologists are partnering with the primary care providers in the network to standardize care for functional constipation, to reduce potentially avoidable ED visits and to reduce inpatient admissions. To track success, data are aggregated from the primary care practice EHRs, the payers and the health information exchanges (HIEs) to create reporting for SMART aims.
why did we choose constipation?
Functional constipation is a common pediatric condition that can be effectively managed in primary care. For 2 consecutive years, in 2018 and 2019, constipation ranked in the top 5 reasons for ED visits. In 2018, 2.28% or 951 ED visits were for constipation and in 2019, 2.32% or 817 ED visits were for constipation. The average Anthem cost for an ED visit for constipation in 2018 was $1762 and in 2019 was $1701. For these reasons, the goal is to manage constipation in primary care and in the home setting, avoid potentially avoidable ED visits and avoid the inpatient setting for cleanouts. In addition, managing constipation in primary care allows for increased access to gastroenterology for patients who truly need to be there.