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COMPREHENSIVE CARE FOR CHRONICALLY ILL CHILDREN, REDUCED HOSPITALIZATIONS, E-R VISITS AND HEALTH CARE COSTS

INTRO: High-risk, chronically ill children are often in and out of hospitals, emergency departments and intensive care units. A new study examined if providing comprehensive care in a single “medical home” setting, as a way of coordinating care among multiple healthcare providers, could help keep these children out of the hospital and control health care costs. Catherine Dolf has more in this week’s JAMA Report.

AUDIO
SOT/FULL (Quick Super) Super@ :05 Lupe Flores – Maverick’s Mom Runs:02

VIDEO
B-ROLL
Maverick in his car seat playing with toy

AUDIO
VO
THIS IS MAVERICK TODAY.

AUDIO
NATSO/FULL Runs:04
“…how is Maverick doing…he’s doing wonderful…he’s doing well…yes sir…”

VIDEO
B-ROLL
Cu of Maverick’s ventilator being checked by Dr. Mosquera, Maverick getting vaccinated and crying, cu of Dr. Mosquera, Maverick being held by nurse

AUDIO
VO
HE STILL REQUIRES A VENTILATOR TO SUPPORT HIS BREATHING. BUT LIKE ANY OTHER 18-MONTH-OLD, HE’S ALSO NOT FOND OF VACCINATIONS. MAVERICK IS RECEIVING COORDINATED CARE FROM DOCTORS, NURSES, AND OTHER SPECIALISTS, ALL IN ONE PLACE AT ONE TIME. THIS CONCEPT IS CALLED A MEDICAL HOME.

AUDIO
SOT/FULL Super@:28 Jon E. Tyson, M.D., M.P.H., – University of Texas Health Science Center at Houston Runs:06
“It’s really important to be able to go one place to get both your primary care and your specialty care.”

AUDIO
SOT/FULL Super@:33 Ricardo A. Mosquera, M.D., – University of Texas Health Science Center at Houston Runs:06
“We are there all the time for them, if they have questions they can contact us anytime.”

VIDEO
B-ROLL
Maverick on gurney going down hall, nurse practitioner walking down hall and talking on cell phone, another nurse practitioner on the phone with family

AUDIO
VO
CARE DOESN’T STOP WHEN PATIENTS PHYSICALLY LEAVE THE CLINIC. THE STAFF PROVIDES EACH FAMILY WITH THEIR CELL PHONE NUMBERS AND THEY ARE FOLLOWED UP WITH BY A NURSE PRACTITIONER.

AUDIO
NATSO/FULL Runs:02
“…does he have a fever…?”

VIDEO
B-ROLL
Dr. Mosquera and Dr. Tyson walking in hospital lobby with co-author, Dr. Mosquera examining Maverick, Mom and nurse watching, Dr. Mosquera looking in Maverick’s ears

AUDIO
VO
DOCTORS RICARDO MOSQUERA AND JON TYSON FROM THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON AND CO-AUTHORS EXAMINED THE OUTCOMES FOR TWO GROUPS OF HIGH-RISK, CHRONICALLY ILL CHILDREN. ONE GROUP RECEIVED CARE AT THE COMPREHENSIVE MEDICAL HOME. THE OTHER GROUP RECEIVED USUAL CARE FROM THEIR REGULAR MEDICAL PROVIDERS. BOTH GROUPS WERE FOLLOWED FOR ABOUT 2 AND A HALF YEARS.

AUDIO
SOT/FULL Super@1:08 Ricardo A. Mosquera, M.D.,- University of Texas Health Science Center at Houston Runs:20
“Children who received the primary care in our comprehensive clinic had 40 to 60 percent less hospitalizations, ER visits and ICU admissions. The cost for a patient per year in our comprehensive clinic is ten thousand dollars less than the traditional care.”

(Video covering 2nd half of bite: Dr. Mosquera with Maverick and his mom)

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:31 Jon E. Tyson, M.D., M.P.H., -  University of Texas Health Science Center at Houston
“Anything that simplifies the care for the parents, for children with such complex problems is going to help.”

VIDEO
B-ROLL
Lupe and nurse talking

AUDIO
VO
LUPE CREDITS THE ENTIRE TEAM FOR KEEPING MAVERICK OUT OF THE HOSPITAL SINCE HE WAS ORIGINALLY DISCHARGED.

AUDIO
NATSO/FULL Runs:05
“…h-i-j-k-l-m-n-o-p…” (nurse singing)

AUDIO
SOT/FULL Super@1:49 Lupe Flores – Maverick’s Mother Runs:06
“Maverick is going to get through this and he’s going to show everyone that miracles do really happen.”

(Video covering 2nd half of bite: cu of Maverick on moms lap)

VIDEO
B-ROLL
Maverick on moms lap, slo mo to freeze frame

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG: STUDY AUTHORS SAY THESE FINDINGS ARE FROM A SINGLE-SITE AND NEED TO BE REPLICATED IN BROADER POPULATIONS.

INTRO: High-risk, chronically ill children are often in and out of hospitals, emergency departments and intensive care units. A new study examined if providing comprehensive care in a single “medical home” setting, as a way of coordinating care among multiple healthcare providers, could help keep these children out of the hospital and control health care costs. Catherine Dolf has more in this week’s JAMA Report.

AUDIO
SOT/FULL (Quick Super) Super@ :05 Lupe Flores – Maverick’s Mom Runs:02

VIDEO
B-ROLL
Maverick in his car seat playing with toy

AUDIO
VO
THIS IS MAVERICK TODAY.

AUDIO
NATSO/FULL Runs:04
“…how is Maverick doing…he’s doing wonderful…he’s doing well…yes sir…”

VIDEO
B-ROLL
Cu of Maverick’s ventilator being checked by Dr. Mosquera, Maverick getting vaccinated and crying, cu of Dr. Mosquera, Maverick being held by nurse

AUDIO
VO
HE STILL REQUIRES A VENTILATOR TO SUPPORT HIS BREATHING. BUT LIKE ANY OTHER 18-MONTH-OLD, HE’S ALSO NOT FOND OF VACCINATIONS. MAVERICK IS RECEIVING COORDINATED CARE FROM DOCTORS, NURSES, AND OTHER SPECIALISTS, ALL IN ONE PLACE AT ONE TIME. THIS CONCEPT IS CALLED A MEDICAL HOME.

AUDIO
SOT/FULL Super@:28 Jon E. Tyson, M.D., M.P.H., – University of Texas Health Science Center at Houston Runs:06
“It’s really important to be able to go one place to get both your primary care and your specialty care.”

AUDIO
SOT/FULL Super@:33 Ricardo A. Mosquera, M.D., – University of Texas Health Science Center at Houston Runs:06
“We are there all the time for them, if they have questions they can contact us anytime.”

VIDEO
B-ROLL
Maverick on gurney going down hall, nurse practitioner walking down hall and talking on cell phone, another nurse practitioner on the phone with family

AUDIO
VO
CARE DOESN’T STOP WHEN PATIENTS PHYSICALLY LEAVE THE CLINIC. THE STAFF PROVIDES EACH FAMILY WITH THEIR CELL PHONE NUMBERS AND THEY ARE FOLLOWED UP WITH BY A NURSE PRACTITIONER.

AUDIO
NATSO/FULL Runs:02
“…does he have a fever…?”

VIDEO
B-ROLL
Dr. Mosquera and Dr. Tyson walking in hospital lobby with co-author, Dr. Mosquera examining Maverick, Mom and nurse watching, Dr. Mosquera looking in Maverick’s ears

AUDIO
VO
DOCTORS RICARDO MOSQUERA AND JON TYSON FROM THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON AND CO-AUTHORS EXAMINED THE OUTCOMES FOR TWO GROUPS OF HIGH-RISK, CHRONICALLY ILL CHILDREN. ONE GROUP RECEIVED CARE AT THE COMPREHENSIVE MEDICAL HOME. THE OTHER GROUP RECEIVED USUAL CARE FROM THEIR REGULAR MEDICAL PROVIDERS. BOTH GROUPS WERE FOLLOWED FOR ABOUT 2 AND A HALF YEARS.

AUDIO
SOT/FULL Super@1:08 Ricardo A. Mosquera, M.D.,- University of Texas Health Science Center at Houston Runs:20
“Children who received the primary care in our comprehensive clinic had 40 to 60 percent less hospitalizations, ER visits and ICU admissions. The cost for a patient per year in our comprehensive clinic is ten thousand dollars less than the traditional care.”

(Video covering 2nd half of bite: Dr. Mosquera with Maverick and his mom)

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:31 Jon E. Tyson, M.D., M.P.H., -  University of Texas Health Science Center at Houston
“Anything that simplifies the care for the parents, for children with such complex problems is going to help.”

VIDEO
B-ROLL
Lupe and nurse talking

AUDIO
VO
LUPE CREDITS THE ENTIRE TEAM FOR KEEPING MAVERICK OUT OF THE HOSPITAL SINCE HE WAS ORIGINALLY DISCHARGED.

AUDIO
NATSO/FULL Runs:05
“…h-i-j-k-l-m-n-o-p…” (nurse singing)

AUDIO
SOT/FULL Super@1:49 Lupe Flores – Maverick’s Mother Runs:06
“Maverick is going to get through this and he’s going to show everyone that miracles do really happen.”

(Video covering 2nd half of bite: cu of Maverick on moms lap)

VIDEO
B-ROLL
Maverick on moms lap, slo mo to freeze frame

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG: STUDY AUTHORS SAY THESE FINDINGS ARE FROM A SINGLE-SITE AND NEED TO BE REPLICATED IN BROADER POPULATIONS.

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