• Conference/Meeting
  • March 17-22, 2019

2019 Quality and Safety in Children's Health Conference

Monday, March 18, 2019 Sessions

Tuesday, March 19, 2019 Sessions

  • Concurrent
    Power Session: Demonstrating ROI through Quality Advancements
    March 19, 2019 08:00 AM - 09:00 AM

    Children’s Hospital of Richmond at VCU and Children’s Healthcare of Atlanta share how simple tools and the Safety Coach Program can enhance quality.

  • Concurrent
    Power Session: Improving Patient and Family Partnerships
    March 19, 2019 08:00 AM - 09:00 AM

    Children's Health Children's Medical Center Dallas and Kaiser Foundation Hospital – Roseville, Women’s and Children’s Services describe how CoDesign and the Family Advisor Network partner drive meaningful improvements in the patient care experience.

  • Concurrent
    Power Session: Tackling the Opioid Crisis
    March 19, 2019 08:00 AM - 09:00 AM

    Rady Children's Hospital San Diego and Children's Hospital Colorado share interventions for reducing unnecessary opioid prescription for pediatric patients.

  • Concurrent
    Power Session: Using Lean to Improve Access
    March 19, 2019 08:00 AM - 09:00 AM

  • Concurrent
    Systematically Improving Quality within a Pediatric Clinically Integrated Network
    March 19, 2019 08:00 AM - 09:00 AM

    In less than three years, a clinically integrated network demonstrated improved quality performance across 12 pediatric primary care preventive and chronic condition measures. Children’s Mercy Kansas City achieved increases of 4 to 51 percentage points using data, a common operational framework and process to identify, share, and disseminate best practices. The network drove improvement by collaborating with infectious disease specialists, developing a set of shared resources and best practices, and effectively using data and population health technology.

  • Concurrent
    Building Better Access and Retention in Behavioral Health (session repeats at 10:15 a.m.)
    March 19, 2019 09:15 AM - 10:00 AM

    A nationwide shortage of psychiatry providers combined with high demand for behavioral health services resulted in poor access to behavioral health care. Nationwide Children’s Hospital aimed to reduce the wait times to new patients with behavioral health needs through a series of structured quality improvement efforts.

  • Concurrent
    Discovering Latent Safety Threats in Pediatric Post-Construction Health Care Design (session repeats at 10:15 a.m.)
    March 19, 2019 09:15 AM - 10:00 AM

    Hospital acquired conditions are affected by physical spaces, or the built environment. Unintended design flaws may introduce latent safety threats (LSTs) contributing to adverse events. Since LSTs are challenging to identify in the built environment, Children’s Healthcare of Atlanta integrated simulation to identify LSTs inherent to the design of a new outpatient center.

  • Concurrent
    Improving Access and Value Through eConsults and Project CORE (session repeats at 10:15 a.m.)
    March 19, 2019 09:15 AM - 10:00 AM

    Eight children’s hospitals, including Children’s Hospital at Dartmouth-Hitchcock, are implementing CORE for Kids, the pediatric arm of Project CORE (Coordinating Optimal Referral Experiences). The project aims to promote communication and coordination between primary care providers and specialists. The effort builds upon a CMMI Health Care Innovation Award that demonstrated significant return on investment for academic medical centers.

  • Concurrent
    Little People in a Big World: Assuring Quality Pediatric Care in Any Health System (session repeats at 10:15 a.m.)
    March 19, 2019 09:15 AM - 10:00 AM

    Cohen Children’s Medical Center redefined a pediatric service-line model to ensure the delivery of high-quality pediatric care throughout a multi-hospital health system. The team used a system quality dashboard, education and spread of standardized care bundles.

  • Concurrent
    Special Needs Tracking and Awareness Response System (session repeats at 10:15 a.m.)
    March 19, 2019 09:15 AM - 10:00 AM

    Pediatric patients with complex medical needs have suffered poor outcomes in prehospital settings due to under-prepared emergency providers, a lack of accurate information, and delayed access to tertiary care. As a result, patient guardians often lack confidence in emergency medical service and community emergency departments. SSM Health Cardinal Glennon Children’s Hospital developed a program to address the needs of this unique population.

  • Concurrent
    Building Better Access and Retention in Behavioral Health (repeat session from 9:15 a.m.)
    March 19, 2019 10:15 AM - 11:00 AM

    A nationwide shortage of psychiatry providers combined with high demand for behavioral health services resulted in poor access to behavioral health care. Nationwide Children’s Hospital aimed to reduce the wait times to new patients with behavioral health needs through a series of structured quality improvement efforts.

  • Concurrent
    Discovering Latent Safety Threats in Pediatric Post-Construction Health Care Design (repeat session from 9:15 a.m.)
    March 19, 2019 10:15 AM - 11:00 AM

    Hospital acquired conditions are affected by physical spaces, or the built environment. Unintended design flaws may introduce latent safety threats (LSTs) contributing to adverse events. Since LSTs are challenging to identify in the built environment, Children’s Healthcare of Atlanta integrated simulation to identify LSTs inherent to the design of a new outpatient center.

  • Concurrent
    Improving Access and Value Through eConsults and Project CORE (repeat session from 9:15 a.m.)
    March 19, 2019 10:15 AM - 11:00 AM

    Eight children’s hospitals, including Children’s Hospital at Dartmouth-Hitchcock, are implementing CORE for Kids, the pediatric arm of Project CORE (Coordinating Optimal Referral Experiences). The project aims to promote communication and coordination between primary care providers and specialists. The effort builds upon a CMMI Health Care Innovation Award that demonstrated significant return on investment for academic medical centers.

  • Concurrent
    Little People in a BIG World: Spreading Quality Pediatric Care (repeat session from 9:15 a.m.)
    March 19, 2019 10:15 AM - 11:00 AM

    Cohen Children’s Medical Center redefined a pediatric service-line model to ensure the delivery of high-quality pediatric care throughout a multi-hospital health system. The team used a system quality dashboard, education and spread of standardized care bundles.

  • Concurrent
    Special Needs Tracking and Awareness Response System (repeat session from 9:15 a.m.)
    March 19, 2019 10:15 AM - 11:00 AM

    Pediatric patients with complex medical needs have suffered poor outcomes in prehospital settings due to under-prepared emergency providers, a lack of accurate information, and delayed access to tertiary care. As a result, patient guardians often lack confidence in emergency medical service and community emergency departments. SSM Health Cardinal Glennon Children’s Hospital developed a program to address the needs of this unique population.

  • Concurrent
    Blending Care of the Pediatric Body and Mind
    March 19, 2019 11:15 AM - 11:45 AM

    Dell Children's Medical Center of Central Texas integrated mental health care into an acute care facility. Interdisciplinary efforts designed a clinical model that aims to move patients out of the emergency department and better utilize the hospital’s existing consult and liaison services. The service line is building a new electronic medical record platform to optimize care planning.

  • Concurrent
    Improving Medication Use Through Preemptive Pharmacogenomics
    March 19, 2019 11:15 AM - 11:45 AM

    Medication use remains a common cause of preventable harm across all settings of pediatric care. Pharmacogenomics is an underused strategy that can proactively guide drug selection and dosing. A growing number of pediatric models and resources such as the Clinical Pharmacogenetics Implementation Consortium (CPIC) are now available to help. St. Jude Children’s Research Hospital leads the consortium which has successfully preemptively genotyped more than 4,300 patients. CPIC has developed passive and active clinical decision support.

  • Concurrent
    Medical Home Care Management for Children with Medical Complexity
    March 19, 2019 11:15 AM - 11:45 AM

    Children’s Hospital of Philadelphia and Keystone First, a Medicaid managed care organization, initiated a pilot care management program for children with medical complexity. A single children's hospital primary care site provides care for about 15,000 Keystone First patients. Through innovative use of electronic health record tools and a robust quality improvement approach, the hospital achieved reductions in emergency department visits and hospital utilization.

  • Concurrent
    Rescue Me: Challenges and Solutions to PEWS and RRT Implementation
    March 19, 2019 11:15 AM - 11:45 AM

    Pediatric Early Warning Score (PEWS) and rapid response team (RRT) expedite interventions needed for timely rescue of a child with clinical deterioration. The Children’s Hospital of Richmond at VCU’s project explains building of PEWS into the electronic medical record, creation and implementation of algorithms to guide the appropriate medical or RRT response to high PEWS scores, and overcoming barriers to implementation.

  • Concurrent
    Addressing Safety Issues with a Comprehensive Workplace Violence Prevention Program
    March 19, 2019 01:15 PM - 01:45 PM

    Workplace violence has become a major safety issue for health care workers. Children’s Hospital Colorado surveyed 3,146 team members on physical and verbal abuse in the workplace. The survey showed that 35.6 percent of respondents had one or more verbal abuse incidents in the past 12 months with 71.6 percent from family or visitors. The hospital responded by developing a workplace violence program.

  • Concurrent
    Building an Effective Patient Transition of Care System
    March 19, 2019 01:15 PM - 01:45 PM

    In 2015, the Riley Hospital for Children at Indiana University Health Heart Center readmission rate for 30 days post discharge was above 12 percent, the length of stay index was 1.2 . Complaints of disjointed transitions of care and poor communication during hospital admissions and prior to discharge from the hospital’s primary care partners and patients was a constant. The hospital created the Nurse Navigation role to improve care management.

  • Concurrent
    Pediatric Support Services: A Care Coordination "Easy Button"
    March 19, 2019 01:15 PM - 01:45 PM

    More than 50 percent of the children in Children’s Hospital – Greenville Hospital System service area enter school with an unidentified developmental or behavioral problem. Hospital staff created Pediatric Support Services to link families to existing community services as an answer to the current disjointed pediatric service coordination for children with special developmental, behavioral and psychosocial needs served by many health systems.

  • Concurrent
    Transforming Neonatal Intensive Care: Caring for Mom & Baby Together
    March 19, 2019 01:15 PM - 01:45 PM

    In February 2018, Yale New Haven Children’s Hospital moved into a new 68-bed, state-of-the-art single-room NICU and became the first U.S. academic medical center and children's hospital to implement postpartum/NICU mother-baby couplet care. The hospital designed special mother-baby rooms and created a new care model that spans two services.

  • Concurrent
    C.A.M.P. Caregivers: Implementing Parental Support Groups in the Medical Setting
    March 19, 2019 02:15 PM - 02:45 PM

    Limited research explores parental support groups, much less groups using the creative arts. Holtz Children’s Hospital Jackson Memorial Hospital started a new creative arts and music support group for parents and caregivers. Music therapists designed varied interventions, noted parent and caregiver feedback, and tracked difficulties in starting such a group. This type of support group can be used in numerous clinical settings.

  • Concurrent
    Increasing Resident Physician Engagement in Safety Through Event Reporting
    March 19, 2019 02:15 PM - 02:45 PM

    Reporting patient safety events identifies and helps prevent harm, however, safety events remain underreported— particularly by physicians. Children’s Hospital of Richmond at VCU developed an innovative approach that successfully increased physician engagement in event reporting and ultimately enhanced the hospital’s culture of safety.

  • Concurrent
    Target-Based Care: Leveraging EHR-Derived Benchmarks to Reduce Postoperative LOS
    March 19, 2019 02:15 PM - 02:45 PM

    Target-based care is a program leveraging personalized comparative effectiveness information derived from the electronic health record to provide transparent, real-time hospital goals for hospitalized patients. Lucile Packard Children's Hospital at Stanford provides follow-up data from experience with patients undergoing cardiac, orthopedic, and neurosurgical operations.

  • Concurrent
    The Harm Index: Capturing the Big Picture of Harm Prevention
    March 19, 2019 02:15 PM - 02:45 PM

    As hospitals continue to strive for zero harm, the growing need for robust data infrastructure continues. Rate-based measurements allow for comparison of performance over time but often only take into account events by individual metrics. Children’s Hospital Philadelphia created a “Harm Index” to display an aggregate rate to measure overall performance.

  • Plenary
    Plenary Session with Ingrid Fetell Lee
    March 19, 2019 03:00 PM - 04:30 PM

    Putting Joy to Work

Wednesday, March 20, 2019 Sessions

  • Concurrent
    Power Session: Advancing Root Cause Analysis
    March 20, 2019 08:00 AM - 09:00 AM

    Seattle Children’s Hospital and Lucile Packard Children’s Hospital at Stanford showcase strategies for improving root cause analysis work through family involvement and process improvement.

  • Concurrent
    Power Session: Affecting Patient Safety through Infection Control
    March 20, 2019 08:00 AM - 09:00 AM

    Children’s Health Children’s Medical Center Dallas and Children’s Hospital & Medical Center use their experiences to deliver strategies for providing infection control to patients, families and staff.

  • Concurrent
    Power Session: Implementing Change to Improve Care
    March 20, 2019 08:00 AM - 09:00 AM

    Children's National Health System and Nationwide Children’s Hospital demonstrate how Appreciate Inquiry concepts and a quality improvement-driven morbidity and mortality conference can improve care.

  • Concurrent
    Power Session: Integrating Clinical Effectiveness Teams
    March 20, 2019 08:00 AM - 09:00 AM

    Children's Hospital Colorado and UPMC Children’s Hospital of Pittsburgh showcase how partnerships among departments can produce better data and identify barriers to improve health outcomes.

  • Concurrent
    A Guide to Quality Improvement for High-Volume Pediatric Subspecialty Practices
    March 20, 2019 09:15 AM - 10:00 AM

    With individual department leadership and broad institutional culture of patient safety, pediatric behavioral health, otolaryngology, and orthopedics departments at Nationwide Children’s Hospital established robust quality improvement (QI) programs in clinically busy departments that reached combined annual outpatient visits over 278,000. Intradepartmental staff “buy-in”, culture change, and an effective infrastructure were integral to program success.

  • Concurrent
    Hospitalist Run Discharge Clinics: A Three-Year Retrospective
    March 20, 2019 09:15 AM - 10:00 AM

    Staff at Penn State Children’s Hospital at the Milton S. Hershey Medical Center started a post acute care clinic using existing staff, space and no additional investment. Over three years, clinic volume has grown about 60 percent and patient satisfaction scores are in the 99th percentile.

  • Concurrent
    Improving Outcomes for Behavioral Disorder Patients Using Coping Plans
    March 20, 2019 09:15 AM - 10:00 AM

    Unfamiliar hospital environment causes stress for children with behavioral disorders like autism spectrum disorder. Perioperative health care teams are often poorly equipped to intervene when a child has severe distress and can cause disruption of care resulting in a longer length of stay. Children’s Healthcare of Atlanta developed an emergency medical record-based coping plan to provide tailored plans of care to limit stress.

  • Concurrent
    Leveraging the Electronic Medical Record to Improve Sepsis Mortality Rates
    March 20, 2019 09:15 AM - 10:00 AM

    Risks associated with sepsis and the rapidity at which it progresses cannot be overstated. Stony Brook Children’s Hospital developed an automated, real time electronic alert for patients who meet sepsis criteria. As a result, the hospital increased the number of sepsis patients identified and decreased overall sepsis mortality rates.

  • Concurrent
    BEE MINDFUL: A Sweet Approach for Children with Special Needs
    March 20, 2019 10:15 AM - 11:00 AM

    Cohen Children’s Medical Center sought to redefine care delivery for children with special needs. The BEE MINDFUL program uses an original Pediatric Neurobehavioral Assessment Tool and branded symbol to improve outcome measures. Implementation of this unique program created a shared mental model transforming care for this vulnerable pediatric population.

  • Concurrent
    Building a Medical Neighborhood: Integrating Outpatient Clinics
    March 20, 2019 10:15 AM - 11:00 AM

    Children’s Hospital of Wisconsin built a medical neighborhood which integrates primary, specialty and urgent care. The goal was to decrease variation, improve quality, enhance family experience, and decrease the cost of care. The medical neighborhood advances the health care system’s strategic goals of population health, affordability, and convenience.

  • Concurrent
    Care Integration is Essential to Achieving High Value
    March 20, 2019 10:15 AM - 11:00 AM

    At its foundation, value-based care revolves around patients and requires pursuit of the Quadruple Aim: improved health, lower cost, improved experience of care for children and families, and provider joy. Learn how Boston Children’s Hospital’s care integration and measures deliver on the Quadruple Aim’s promise of high-value care.

  • Concurrent
    Partnerships Serving Families of Children with Severe Behaviors
    March 20, 2019 10:15 AM - 11:00 AM

    Kentucky Children’s Hospital’s developmental and behavioral pediatric clinic, and graduate training program in applied behavior analysis coordinated care to address severe problem behavior. The partnership led to improved quality care for children with autism and other neurodevelopmental behavioral challenges while positively affecting families.

  • Concurrent
    Impact Session: After Hurricane Maria: Managing Evaporation of the Intravenous Fluid Supply
    March 20, 2019 12:30 PM - 01:15 PM

    A national IV fluid shortage prompted staff at Children’s Hospital of Philadelphia to utilize formal improvement methodology as the backbone of an initiative to meet supply needs. The work of a multidisciplinary group resulted in sustained decrease in the hospital’s IV fluid use with no patient safety events.

  • Impact Session: How a Mother's Story and Sharing Across Hospitals Has Transformed Pediatric Safety
    March 20, 2019 12:30 PM - 01:15 PM

    A similar practice at separate hospitals caused serious safety events. Children’s Mercy Kansas City accelerated efforts to share serious harm concerns following the revelation. Attendees will hear from a family member whose story influenced industry change. Children’s Mercy Kansas City will describe how it is actively involved in sharing serious harm details in a protected learning organization so serious harm is not repeated elsewhere.

  • Concurrent
    Impact Session: Learning Collaboratives for Quality Improvement Initiatives in Pediatric Hospital Expansions
    March 20, 2019 01:30 PM - 02:15 PM

    As pediatric hospital systems expand, it’s integral to maintain quality and safety standards across all locations. Boston Children’s Hospital developed a collaborative quality improvement learning community to promote engagement in initiatives across its expanding hospital system.

  • Concurrent
    Impact Session: Using Clinical Redesign to Enhance Quality and Drive Cost Reduction
    March 20, 2019 01:30 PM - 02:15 PM

    Using an integrated team process to examine inefficiencies, mobilize multi-disciplinary teams and pilot and sustain changes has resulted in our hospital successfully resolving complex system challenges using a standard approach. This approach has driven cost savings, improved clinical performance and has provided a roadmap for redesigning ineffective processes.