• Conference/Meeting
  • March 4-9, 2018

2018 Quality and Safety in Children's Health Conference

Monday, March 5, 2018 Sessions

Tuesday, March 6, 2018 Sessions

  • Pediatric Quality Award (PQA) Semifinalists: Clinical Care Project Category
    March 6, 2018 08:00 AM - 09:00 AM

    Hear from Pediatric Quality Award (PQA) semifinalists in the Clinical Care project category.

  • Pediatric Quality Award (PQA) Semifinalists: Delivery System Transformation Category
    March 6, 2018 08:00 AM - 09:00 AM

    Hear how Pediatric Quality Award (PQA) semifinalists in the Delivery System Transformation category are meeting the challenges to transform both financing and service delivery.

  • Concurrent
    Power Session: Clinical Effectiveness
    March 6, 2018 08:00 AM - 09:00 AM

    Ann & Robert H. Lurie Children’s Hospital of Chicago and Children's Hospital of Pittsburgh of UPMC showcase strategies for transforming clinical care and data delivery.

  • Concurrent
    Power Session: Safer Workplace
    March 6, 2018 08:00 AM - 09:00 AM

    Florida Hospital for Children and Riley Hospital for Children at Indiana University Health share workplace violence risk assessment and prevention tools.

  • Concurrent
    Reducing Hospitalizations through a Medicaid Population Health Improvement Approach
    March 6, 2018 08:00 AM - 09:00 AM

    By reviewing an emerging population health management program Children's Hospital of Philadelphia, attendees will receive concrete strategy and tools to support improvement approaches that can meaningfully impact the capacity management of Medicaid admissions at children's hospitals. Quality improvement and population-level data will be reviewed as evidence of impact.

  • Concurrent
    Improving Patient Safety by Engaging Families in Hospital Communication (Session Repeats at 10:15 a.m.)
    March 6, 2018 09:15 AM - 10:00 AM

    Developed by the John Eisenberg Innovation in Patient Safety and Quality award recipients, this program is an evidence-based program to improve safety through family and inter-professional engagement in hospital communication. This session will address how to implement a nationally recognized Patient and Family Centered program to improve safety.

  • Concurrent
    Improving the Surgical Experience for Children with Autism (Session Repeats at 10:15 a.m.)
    March 6, 2018 09:15 AM - 10:00 AM

    Undergoing surgery can be extremely distressing for children, but for those with autism spectrum disorder, the experience can be particularly traumatic, triggering fear and resistance, which can seriously disrupt the treatment process. By identifying children with special needs beforehand, a coordinated care team can create a significantly better experience for patients.

  • Concurrent
    No Show, Oh No! Engaging Patients and Families in Improving Appointment Adherence (Session Repeats at 10:15 a.m.)
    March 6, 2018 09:15 AM - 10:00 AM

    Children’s Hospital of Philadelphia describes their approach to engage patients and families as partners in improving appointment adherence and demonstrate how structured interviews and surveys determine barriers to adherence and reminder preferences. As a result, the hospital implemented a new reminder platform, which helps communicate with patients and backfill open slots.

  • Concurrent
    The RN and M.D. Quality and Safety Leadership Dyad: Decreasing Patient Harm (Session Repeats at 10:15 a.m.)
    March 6, 2018 09:15 AM - 10:00 AM

    The RN and M.D. quality and safety leadership dyad has rapidly decreased preventable patient harm by fusing the expertise of physicians and nurses. Discover how the leadership dyad led to hospital preventable harm events decreasing by 22 percent and hospital engagement scores related to quality and safety significantly improving.

  • Concurrent
    Trauma-informed Care & Neonatal Abstinence Syndrome: Improving Family Engagement (Session Repeats at 10:15 a.m.)
    March 6, 2018 09:15 AM - 10:00 AM

    Family engagement reduces length of stay in Neonatal Abstinence Syndrome patients and utilizing Trauma-Informed Care (TIC) at the bedside increases this familial engagement. Attendees will understand the history and importance underlying TIC, learn tools and strategies to implement TIC, and work through cases in small groups with expert guidance in applying TIC to real-life scenarios.

  • Improving Patient Safety by Engaging Families in Hospital Communication (Repeat Session from 9:15 a.m.)
    March 6, 2018 10:15 AM - 11:00 AM

    Developed by the John Eisenberg Innovation in Patient Safety and Quality award recipients, this program is an evidence-based program to improve safety through family and inter-professional engagement in hospital communication. This session will address how to implement a nationally recognized Patient and Family Centered program to improve safety.

  • Improving the Surgical Experience for Children with Autism (Repeat Session from 9:15 a.m.)
    March 6, 2018 10:15 AM - 11:00 AM

    Undergoing surgery can be extremely distressing for children, but for those with autism spectrum disorder, the experience can be particularly traumatic, triggering fear and resistance, which can seriously disrupt the treatment process. By identifying children with special needs beforehand, a coordinated care team can create a significantly better experience for patients.

  • No Show, Oh No! Engaging Patients and Families in Improving Appointment Adherence (Repeat Session from 9:15 a.m.)
    March 6, 2018 10:15 AM - 11:00 AM

    Children’s Hospital of Philadelphia describes their approach to engage patients and families as partners in improving appointment adherence and demonstrate how structured interviews and surveys determine barriers to adherence and reminder preferences. As a result, the hospital implemented a new reminder platform, which helps communicate with patients and backfill open slots.

  • Concurrent
    The RN and M.D. Quality and Safety Leadership Dyad: Decreasing Patient Harm (Repeat Session from 9:15 a.m.)
    March 6, 2018 10:15 AM - 11:00 AM

    The RN and M.D. quality and safety leadership dyad has rapidly decreased preventable patient harm by fusing the expertise of physicians and nurses. Discover how the leadership dyad led to hospital preventable harm events decreasing by 22 percent and hospital engagement scores related to quality and safety significantly improving.

  • Concurrent
    Trauma-informed Care & Neonatal Abstinence Syndrome: Improving Family Engagement (Repeat Session from 9:15 a.m.)
    March 6, 2018 10:15 AM - 11:00 AM

    Family engagement reduces length of stay in Neonatal Abstinence Syndrome patients and utilizing Trauma-Informed Care (TIC) at the bedside increases this familial engagement. Attendees will understand the history and importance underlying TIC, learn tools and strategies to implement TIC, and work through cases in small groups with expert guidance in applying TIC to real-life scenarios.

  • Concurrent
    Excellence in Patient Experience: Service Recovery Strategies for Staff
    March 6, 2018 11:15 AM - 11:45 AM

    Advancing Patient Experience scores have traditionally focused solely on activities improving the overall hospital experience for patients and families. Focusing on problems when they happen can yield positive outcomes and impact scores. Training in service recovery, the process of making things right, empowers staff with tools to enhance the overall hospital experience despite difficult or negative circumstances.

  • Concurrent
    Implementing Primary-specialty Care Coordination Partnerships for Children with Medical Complexity
    March 6, 2018 11:15 AM - 11:45 AM

    This session details a pilot model of primary-care, specialty-care partnership care coordination implemented for rural or limited-English proficient medically complex children. Despite implementation challenges, evaluation indicates increased family satisfaction with cross-system communication, appointment coordination and receiving important care information. Significant decrease in specialty-care utilization could reflect improved coordination and self-management ability.

  • Concurrent
    Safety in Numbers: Driving 10,000 Good Catches
    March 6, 2018 11:15 AM - 11:45 AM

    Children’s National Medical Center embarked on a directive from the hospital Board and leadership to double incident reports in the organization. This session describes the aim and key drivers, as well as the results of the initiative in more than doubling the incident reports to over 10,000 in a three-year time frame.

  • Concurrent
    Unit-Based Learning Boards — Advancing a Culture of High Reliability
    March 6, 2018 11:15 AM - 11:45 AM

    Hassenfeld Children’s Hospital at NYU Langone Medical Center successfully developed and deployed Learning Boards across all inpatient units to integrate numerous improvement and safety initiatives under the banner of High Reliability. They provide an interactive, transparent display of improvement project goals and outcomes, and incorporate teaching of Improvement Science methodology and Safety Behaviors and Tools.

  • Concurrent
    Using Common Language and Data to Understand Staffing and Census
    March 6, 2018 11:15 AM - 11:45 AM

    Children’s Hospital of Wisconsin explains a methodology that uses a simple "red/yellow/green" approach to describe census and staffing within the hospital. See how data can direct patient flow, staffing and overall improvement in quality of care, as well as experience provided.

  • Concurrent
    EMR Based Real-time Feedback to Improve SSI Bundle Compliance
    March 6, 2018 01:15 PM - 02:00 PM

    Nemours/Alfred I. duPont Hospital for Children developed an electronic medical record- based, specialty specific perioperative antibiotic order set in Epic® Optime combined with a dynamic reminder in Epic® Anesthesia and a daily management system. After implementation, the hospital improved perioperative antibiotic compliance from 90 percent to nearly 100 percent.

  • Concurrent
    Hospital-wide Safe Sleep Collaborative with Spotlight on Primary Care
    March 6, 2018 01:15 PM - 02:00 PM

    Sleep-related deaths account for a significant percentage of infant deaths in our county. A network of primary care clinics in high-risk neighborhoods provided an effective venue to address this urgent concern. A multi-disciplinary team was successful in addressing the problem using quality improvement tools and multiple interventions.

  • Concurrent
    Missing Pediatric Hypertension? : STOP Tool Increases Patient Identification
    March 6, 2018 01:15 PM - 02:00 PM

    Studies have demonstrated accelerated deterioration of kidney function in pediatric renal patients due to hypertension. Universal recognition of childhood hypertension is hampered by the necessity of factoring gender, age and height to determine elevated blood pressure percentiles. The Surveillance Target Outpatient blood Pressure (STOP) tool aids identification of hypertensive patients.

  • Concurrent
    Sepsis Detection and Management in the Emergency Department Setting
    March 6, 2018 01:15 PM - 02:00 PM

    Seattle Children's Hospital's analytic community collaborated to create a sepsis datamart that identifies Emergency Department patients that may potentially develop sepsis and track them through the encounter. The hospital tapped into the organization’s common safety culture and applied error prevention tools to validate the data and analytics by a multidisciplinary team.

  • Concurrent
    The Journey to High Reliability
    March 6, 2018 01:15 PM - 02:00 PM

    High reliability organizations have common traits including: preoccupation with failure, sensitivity to operations, reluctance to simplify and commitment to resilience. Using these traits as key drivers, we aimed to develop a high reliability unit – a clinical microsystem with targeted outcomes related to patient safety, quality improvement and patient experience.

  • Concurrent
    Moving from Disjointed Spreadsheets to a Real-time Data Management System
    March 6, 2018 02:30 PM - 03:00 PM

    Disjointed data systems in the form of spreadsheets and ad hoc reporting, hinder hospitals from having dynamic discussion about hospital-acquired conditions (HACs). This session will demonstrate the transformation of managing HACs data, and how the changes made the data real-time and robust. The team accomplished the change using existing IT capabilities at zero cost.

  • Concurrent
    Prevention of Interruptions and Safety in Drug Administration
    March 6, 2018 02:30 PM - 03:00 PM

    The lack of signal elements between health care workers and users can generate errors caused by interruptions during drug administration depending on human, technical or environmental factors that can become a source of stress and adverse events. Identification and application of tools for the prevention of interruption promotes safety of drug administration.

  • Concurrent
    St. Luke’s Children’s Pediatric Care Coordination Acuity Tool
    March 6, 2018 02:30 PM - 03:00 PM

    This presentation will demonstrate the predictive validity and feasibility of the Acuity Tool developed to stratify patients by medical complexity while accounting for social, family, school, and behavioral variables.

  • Concurrent
    Standardized Depression and Suicidality Screening Tools in the Emergency Department
    March 6, 2018 02:30 PM - 03:00 PM

    Attendees will learn about the PHQ9 and CSSRS, which are scales used to screen patients for depression and suicidality in the Emergency Department. Rady Children’s Hospital staff will discuss their rollout of these tools and how the screenings have influenced care, including sitter allocation, safety precautions, and identifying patients at risk for depression and suicide.

  • Concurrent
    Using Clinical Quality Improvement to Identify Healthcare Disparities
    March 6, 2018 02:30 PM - 03:00 PM

    Disparities in care related to patient characteristics such as race, ethnicity, gender and socioeconomic status can impact quality, safety, cost and risk management. Collaboration between quality improvement and medical ethics can support clinical teams during improvement efforts to identify and evaluate disparities in health care delivery and outcomes.

  • Plenary
    Plenary Session with Dr. Sian Beilock
    March 6, 2018 03:15 PM - 04:30 PM

    Fostering Team Work — Especially in Times of Crisis

Wednesday, March 7, 2018 Sessions

  • Pediatric Quality Award (PQA) Semifinalists: Patient Safety and Reduction of Harm Category
    March 7, 2018 08:00 AM - 09:00 AM

    Patient safety continues to be a major focus for children’s hospitals. Hear how the four semifinalists in the 2017 Pediatric Quality Award Patient Safety and the Reduction of Harm category significantly improved patient outcomes and made children’s health care safer.

  • Pediatric Quality Award (PQA) Semifinalists: Waste Reduction/Improved Efficiency Category
    March 7, 2018 08:00 AM - 09:00 AM

    Children’s hospitals are constantly challenged to reduce waste, improve efficiency and take costs out of the health care system, while improving clinical outcomes and patient satisfaction. Hear how these four semifinalists in the Waste Reduction/Improved Efficiency category achieve results.

  • Power Session: Managing Behaviors to Provide Safer Care
    March 7, 2018 08:00 AM - 09:00 AM

    Mayo Clinic Children’s Center and Nemours/Alfred I. duPont Hospital for Children use their experiences to deliver strategies for providing safe care to patients, families and staff.

  • Target-based Care: Establishing Benchmarks where Benchmarks are absent
    March 7, 2018 08:00 AM - 09:00 AM

    Decreasing variation is central to optimizing outcomes and reducing waste and cost in health care delivery. This session describes a clinical effectiveness program leveraging personalized comparative effectiveness information at the point of care. The program provides target hospital goals for pediatric patients following surgery to reduce variability and promote high value care.

  • Reducing Hospital-acquired Conditions with “Real-time” Data and Process Review
    March 7, 2018 09:15 AM - 10:00 AM

    Elimination of hospital-acquired conditions improves patient safety. Timely information along with Clinical Process Review (CPR) can improve clinical care by elevating patient safety, increasing staff efficiency and reducing costs. The process of real-time data paired with CPR identifies issues and increases the ability to make immediate adjustments or improvements.

  • Successfully Transforming an Employee Safety Culture and Program
    March 7, 2018 09:15 AM - 10:00 AM

    Designing a safety program begins with transforming safety culture throughout all levels of an organization, rather than starting with the program itself. This process requires the creation of an excellent, high-reliable safety culture framework to develop a program with measurable improvements in employee safety and processes.

  • There's an App for that: Family Communication during Procedures
    March 7, 2018 09:15 AM - 10:00 AM

    Having a loved one in surgery can be stressful. Providing timely updates to families waiting during a procedure is important, but it may strain a surgical team’s resources. Nationwide Children’s Hospital implemented a mobile app to streamline the communication process for staff and improve family satisfaction.

  • When Just Culture Isn’t Enough: Human Factors and Harm Prevention
    March 7, 2018 09:15 AM - 10:00 AM

    To paraphrase the Institute of Medicine: humans err. How, then, do organizations prevent human error in complex environments? Hospitals implementing just cultures for safety have been successful, but there remains opportunity to further prevent patient harm through human factors engineering (HFE). In this session, learn more about how to apply HFE to harm prevention.

  • An Implementation Research Case Study: Innovation in Ambulatory Infection Prevention
    March 7, 2018 10:15 AM - 11:00 AM

    The Children’s Cancer and Blood Disorders Network (CCBDN) pioneered large-scale central line-associated bloodstream infection (CLABSI) prevention in pediatric hematology/oncology patients in both inpatient and ambulatory environments. This session reviews CCBDN’s innovative ambulatory work, teaches tools and approaches for outpatient CLABSI surveillance and prevention, and reviews current barriers to ambulatory infection prevention.

  • Behavioral Economic Strategies for Enhancing Clinician Behavior
    March 7, 2018 10:15 AM - 11:00 AM

    Behavioral economics (BE) is an interdisciplinary field commonly known for promoting positive outcomes in non-health domains, including retirement savings, school attendance and energy conservation. This educational session will highlight the following BE strategies for improving pediatric health care: accountable justifications, peer comparisons, salient images, framing, default setting and reciprocity.

  • Medication Reconciliation - Building Trust while Reducing Errors
    March 7, 2018 10:15 AM - 11:00 AM

    Historically, organizations have judged effectiveness of medication reconciliation based on how often it was performed. While this is easy to track, it doesn't represent what is truly important to clinicians and patients. Seattle Children’s qualitative medication reconciliation analysis instead looks at the accuracy of the patient's discharge medication list.

  • IMPACT Session: A System-Wide Resiliency Program at a Large Academic Medical Center
    March 7, 2018 12:30 PM - 01:30 PM

    To address the well-being of health care providers, Children’s Hospital Colorado implemented a comprehensive resiliency program. They created a Resiliency Collaborative that used interventions and validated measurement instruments that provide support and rationale for program growth.

  • IMPACT Session: Combating Disruptive Behavior: What’s the Drill?
    March 7, 2018 12:30 PM - 01:30 PM

    Workplace violence is a recognized hazard in health care. While statistics show alarmingly high rates of violence, the numbers are likely even higher due to underreporting. This session will describe one institution’s journey to promote interprofessional awareness and skill acquisition to deal with disruptive behaviors displayed by patients and visitors.

  • IMPACT Session: Enhancing Psychological Safety to Improve the Safety Climate
    March 7, 2018 01:45 PM - 02:45 PM

    Psychological safety around event reporting is a critical component of safety culture and the ability to voice concerns without reprisal leads to a safer environment. Using a multidisciplinary improvement model to improve event reporting led to quantitative gains in safety climate domain as measured on the Safety Attitudes Questionnaire culture survey.

  • IMPACT Session: Why & How: Integrated Behavioral Health in Chronic Illness Care
    March 7, 2018 01:45 PM - 02:45 PM

    An estimated 30 to 40 percent of youth living with chronic illnesses struggle with depression, anxiety and other mental health issues. Youth and family mental health needs are often under-identified and unmet within pediatric chronic illness care. Leveraging coproduction and improvement science, the team from Hassenfeld Children’s Hospital of New York at NYU Langone Medical Center will present an implementation guide to behavioral health integration.