• Conference/Meeting
  • March 8-13, 2020

2020 Quality and Safety in Children's Health Conference

Sunday, March 8, 2020 Sessions

Monday, March 9, 2020 Sessions

  • Cardiac Forum
    March 9, 2020 08:00 AM - 04:00 PM

    Attendees will discuss methods to improve quality and operations and share best practices for pediatric cardiac care.

  • Chief Nursing Officers Forum
    March 9, 2020 08:00 AM - 04:00 PM

    The Chief Nursing Officers will discuss methods to improve quality and operations and share best practices for pediatric cardiac care.

  • Executive Exchange Forum
    March 9, 2020 08:00 AM - 04:00 PM

    The Executive Exchange Forum is an opportunity for CEOs, presidents and lead executives of major children's hospitals that are a part of larger systems to examine topics and challenges specific to their operating and market environments.

  • Quality and Safety Leaders Forum
    March 9, 2020 08:00 AM - 04:00 PM

    Quality and Safety leaders will share successful quality and safety programs, discuss the growing role of the quality and safety leader in pediatric hospitals, and share information from experiences in improvement efforts across member organizations.

  • Inpatient Essentials
    March 9, 2020 01:00 PM - 04:30 PM

    Meeting provides the opportunity to meet with other participating hospitals to discuss use of Inpatient Essentials and share successes and challenges.

  • Keynote Presentation - Caroline DeLongchamps
    March 9, 2020 05:00 PM - 06:15 PM

  • Networking Reception
    March 9, 2020 06:15 PM - 08:30 PM

    Meet with peers and make new connections at this reception featuring appetizers and dinner stations.

  • Assess the Effects of Social Determinants on Serious Safety Events
    March 9, 2020 06:30 PM - 07:30 PM

    Various social determinants such as race, gender, socioeconomic status can affect health outcomes, including readmission rates and mortality. Children’s Mercy Kansas City sought to understand the role social determinants may play in contributing to serious safety events and to then incorporate this knowledge into consideration for corrective action plan items. Each staff member interviewed after a potential serious safety event is asked a standardized question regarding the possible influence of any social determinants of health.

  • Build Improvement Capability Through Interdisciplinary Education at a Pediatric Hospital
    March 9, 2020 06:30 PM - 07:30 PM

    Engaging healthcare workers in improvement initiatives is essential to achieving the Triple Aim and improving the domains of health care quality. To build improvement capacity and capability at Children’s Hospital of Philadelphia, the Improvement Education Program (IEP) was established in 2015 to provide a range of educational offerings for learners at multiple stages of experience. The IEP aims to provide staff with the ability to incorporate improvement into their strategic priorities and daily work.

  • Create Medication Safety Interventions Using a Multidisciplinary Team Approach
    March 9, 2020 06:30 PM - 07:30 PM

    The quality group at James and Connie Maynard Children’s Hospital developed a multidisciplinary team to review medication safety events. Monthly review of reported medication-related safety events identified opportunities for process improvements and education across units and disciplines. The group recognized high-risk insulin events as a priority for initially focused interventions. Education of staff and ordering providers, pharmacy process mapping, administration practices, and technology influences were optimized through trended events.

  • Empower Frontline Staff Through Huddles and Idea Boards
    March 9, 2020 06:30 PM - 07:30 PM

    A healthy work environment survey at Franciscan Children’s identified the opportunity to increase the involvement of frontline staff in decision making. At the time, a leader-led performance improvement structure contributed to minimal staff involvement, low retention, and poor communication. The implementation of daily huddles and idea boards provided a system to effectively communicate while promoting staff engagement and involvement in decision making to improve quality and safety. The work helped reduce RN turnover rates to below the national average.

  • Impact of Physician Alignment on Clinical Effectiveness
    March 9, 2020 06:30 PM - 07:30 PM

    An initiative at Riley Hospital for Children at Indiana University Health demonstrated that embedding physicians in clinical effectiveness work will transform the culture of an organization toward a stronger value focus. The hospital s accomplished Increased physician alignment via a monthly meeting aiming to standardize the process improvement efforts. During the first 12 months, 75% of the organization’s medical directors identified a project and scheduled a time to present results.

  • Improving Efficiency and Caregiver Satisfaction in Patient-Provider EMR Messaging
    March 9, 2020 06:30 PM - 07:30 PM

    Patients seek computerized access to health care information and professionals in many health care systems. Cleveland Clinic Children’s provides secure Emergency Medical Record (EMR) messaging, for patient communication between the patient and their care team. The project measured missed message rates, caregiver use of standardized documentation, level of comfort in replying to messages and burnout related to messages as reported by survey responses before and after the intervention.

  • Increase Access to Ambulatory Behavioral Health Care
    March 9, 2020 06:30 PM - 07:30 PM

    The requests for behavioral health services at Children’s Hospital of Philadelphia exceeded what staff could support. To increase patient access, the outpatient division designed a new patient intake model known as the Assessment and Resource Center (ARC). Master’s level social workers partnered with licensed behavioral health providers to complete biopsychosocial assessments and recommendations for next steps. The pilot decreased time from initial call to appointment by 66%.

  • Initiative To Decrease Nosocomial C.difficile Infections
    March 9, 2020 06:30 PM - 07:30 PM

    Nosocomial C. difficile infections (CDI) are associated with costs and morbidity. Cohen Children’s Medical Center aimed to decrease nosocomial CDI rates by 20% by January 2020. A multi-disciplinary team used a multi-modal approach focusing on lab stewardship, cleaning practices, reliable infection control practices, and antimicrobial stewardship using the model for improvement. The work successfully reduced oncology unit CDI rates, decreased testing in patients less than 2 years of age and lowered antibiotic use.

  • Maximize Comfort, Minimize Pain
    March 9, 2020 06:30 PM - 07:30 PM

    A survey of bedside nurses at Dell Children’s Medical Center of Central Texas on the different comfort measures revealed a huge gap between nursing staff and parent perceptions regarding pain control for the patient. Since a hospital goal is to maximize comfort and minimize pain, staff worked to bridge the gap. Coaching, introducing tools for the bedside staff and education helped people understand the ‘why’ behind the initiative.

  • Path to Excellence in the NICU: Create Strategy and Structure
    March 9, 2020 06:30 PM - 07:30 PM

    A NICU leadership team at East Tennessee Children’s Hospital created a multi-faceted strategic plan to address improving clinical outcomes, staff engagement, and overall patient experience. The unit historically had staff involvement in unit councils and projects, however, participation was primarily from a few staff members. Using team structure, council structure, and a clinical path program resulted in vast improvements in neonatal clinical outcomes, patient experience, staff engagement and retention.

  • Rapid Response Bag Promotes Efficient Care in Pediatric Acute Units
    March 9, 2020 06:30 PM - 07:30 PM

    Bedside nursing staff at Stony Brook Long Island Children’s Hospital recognized that not all of the supplies needed for a Rapid Response Team (RRT) were easily accessible during an RRT call. The previous process to gather supplies wasted time, resources and supplies. Valuing bedside staff ideas lead to a change in practice and the creation of the RRT bag. The change acknowledged staff comfort level and created a process improvement where the bedside staff proactively addressed concerns.

  • STAR - A Comprehensive Approach to Disruptive Behavior
    March 9, 2020 06:30 PM - 07:30 PM

    Staff at Levine Children’s Hospital noted a growing trend of pediatric patients expressing disruptive behavior; in response, the hospital created a Pediatric Disruptive Behavior Taskforce. They reviewed programs implemented in other children’s hospitals and selected components that would work in their environment. STAR (Safety Trained Action Response) includes an algorithm for identification and response to patients and families at risk for disruptive behavior. A STAR visual cue is used to make teammates aware of these patients.

  • Supporting YOU: More Than a Second Victim Program
    March 9, 2020 06:30 PM - 07:30 PM

    While the term “second victim” has been well described, a largely unmet need for emotional support following adverse events remains. To meet the emotional needs of health care providers as well as dispel the stigma associated with mental health, West Virginia University Children’s Hospital created a 70-member, multi-disciplinary peer support team. The team consists of members from every licensed discipline within the hospital and is available to all staff 24/7.

  • The Right Approach Matters: Achieve Quality Outcomes and Improve Financial Performance
    March 9, 2020 06:30 PM - 07:30 PM

    By combining tested methods with an intentional focus on the pediatric population, Mercy Kids has improved quality outcomes while simultaneously promoting financial performance. The system serves more than 300,000 kids across more than 40 hospitals and 175 clinics. Tactics for success include creating value-add for providers, toolkit templates for individualized implementation and an enterprise-wide approach to data analytics.

  • Therapeutic Listening for Postpartum Depression and Anxiety in the NICU
    March 9, 2020 06:30 PM - 07:30 PM

    Postpartum depression and anxiety affect 1 in 7 mothers nationally, and mothers of critically ill newborns are at a higher risk of depression, anxiety, and post-traumatic stress related to traumatic birth experiences and infant condition The Therapeutic Listening Program at Advocate Children’s Hospital, provides early screening and support at the bedside which helps to keep mothers actively participating in their infant’s care and improves parent engagement. The program also reinforces the family-centered care approach.

  • Two CHA Measurement Resources for Value-based Care
    March 9, 2020 06:30 PM - 07:30 PM

    "Demonstrating Value in Pediatrics: A Measure Menu, Workbook and Guidance for Value-based Care, Payment and Reporting Programs” is aimed toward value-based program administrators and provides a comprehensive look at available pediatric measures suitable for value-based programs. A related resource, “Provider Tip Sheets for Using Outpatient Measures in Value-based Programs” drills down on 14 HEDIS measures and offers collective experience to help primary care providers successfully comply with measures they are held accountable for.

Tuesday, March 10, 2020 Sessions

  • Governance Committee Meeting
    March 10, 2020 07:00 AM - 07:30 AM

    The Governance Committee will meet at the Quality & Safety in Children's Health Conference for the first quarterly meeting of 2020.

  • Board of Trustees Meeting
    March 10, 2020 07:30 AM - 11:00 AM

    The Board of Trustees will meet at the Quality & Safety in Children's Health Conference for the first quarterly meeting of 2020.

  • Power Session: Break Down Silos in Quality Improvement
    March 10, 2020 08:00 AM - 09:15 AM

    The Hospital for Sick Children and James and Connie Maynard Children’s Hospital will focus on their efforts to decrease safety incidents and break down department silos.

  • Power Session: Leverage Data for Improvement
    March 10, 2020 08:00 AM - 09:15 AM

    Children’s Hospital Colorado and Cohen Children’s Medical Center discuss their approaches on managing asthma care and decreasing asthma readmission.

  • Power Session: Manage Aggression in Behavioral Health Patients
    March 10, 2020 08:00 AM - 09:15 AM

    Children’s National Medical Center, Monroe Carell Jr. Children’s Hospital and Yale New Haven Children’s Hospital describe their process on managing aggressive behavioral health patients, and how they keep their staff safe during aggressive patient episodes.

  • Power Session: Rounding with Purpose
    March 10, 2020 08:00 AM - 09:15 AM

    Texas Children’s Hospital, UPMC Children’s Hospital of Pittsburg and Riley Hospital for Children at Indiana University discuss how leader and safety rounding improve communication and patient experience.

  • Power Session: Sepsis – Drive Outcomes Through Technology
    March 10, 2020 08:00 AM - 09:15 AM

    Yale New Haven Children's Hospital and Children’s Hospital Colorado describe their use of technology and the role it has played in capturing and reducing sepsis cases.

  • A Data Stream for Detecting Harm from Diagnostic Errors
    March 10, 2020 09:40 AM - 10:20 AM

    In 2015, Children’s Hospital Colorado identified a serious safety event related to a brain abscess misdiagnosed initially as migraine headaches. The Root Cause Analysis classified this as a diagnostic error and highlighted the challenges of reducing harm arising from failures in the diagnostic process. To address this, the hospital is developing a method to identify patients who have experienced harm arising from diagnostic errors in the emergency department using a combination of EHR-triggers and structured chart review.

  • Build Microsystem Improvement Capacity: One Size Does Not Fit All
    March 10, 2020 09:40 AM - 10:20 AM

    Ann & Robert H. Lurie Children’s Hospital of Chicago recognizes the need to build an embedded improvement support model that expands improvement capacity and enables success at the microsystem level. The hospital’s Center for Excellence invested in improvement support in the Heart Center, emergency department, surgery, and otolaryngology and integrated patient safety and clinical effectiveness. Triads were formed within each of the areas to include a physician leader, nursing or operational leader, and a dedicated improvement consultant.

  • Medication Safety: The Approach to No Harm
    March 10, 2020 09:40 AM - 10:20 AM

    Children’s Mercy Hospital Kansas City uses an interdisciplinary approach to actively improve medication processes. The hospital’s aim is to maintain zero medication-related harm events. The work through the Adverse Drug Event Hospital Acquired Condition/Medication Process and Safety Committee produced a dramatic decrease in harm associated with the medication process in a 2-year timeframe. It’s estimated that one adverse drug harm event costs an organization $5,746.

  • Multi-Site Process Improvement for Children with Medical Complexity
    March 10, 2020 09:40 AM - 10:20 AM

    An initiative involving teams from 10 states uses Gloor’s Collaborative Improvement and Innovation Network (CoIIN) and Deming’s Model for Improvement to facilitate process improvement across multiple sites. The work focuses solely on children with medical complexity: their quality of life, the well-being of their families and the cost-effectiveness of their care. Two participants will describe the structure and process of CoIIN and illustrate outcome measurement strategies.

  • Pediatric Vital Signs: A Challenge and Call to All of Us
    March 10, 2020 09:40 AM - 10:20 AM

    Nationwide Children’s Hospital dramatically improved outcomes for its patients and addressed issues affecting the health of the community at large. Best outcomes for children are often conceptualized as best access, patient safety and patient-family experience. The team broadened that view to define best outcomes as when every child can reach full potential—healthy, active and ready to learn. The project defined key indicators to measure optimal health and outlined interventions to achieve true best outcomes.

  • A Data Stream for Detecting Harm from Diagnostic Errors (encore)
    March 10, 2020 10:40 AM - 11:20 AM

    In 2015, Children’s Hospital Colorado identified a serious safety event related to a brain abscess misdiagnosed initially as migraine headaches. The Root Cause Analysis classified this as a diagnostic error and highlighted the challenges of reducing harm arising from failures in the diagnostic process. To address this, the hospital is developing a method to identify patients who have experienced harm arising from diagnostic errors in the emergency department using a combination of EHR-triggers and structured chart review.

  • Build Microsystem Improvement Capacity: One Size Does Not Fit All (encore)
    March 10, 2020 10:40 AM - 11:20 AM

    Ann & Robert H. Lurie Children’s Hospital of Chicago recognizes the need to build an embedded improvement support model that expands improvement capacity and enables success at the microsystem level. The hospital’s Center for Excellence invested in improvement support in the Heart Center, emergency department, surgery, and otolaryngology and integrated patient safety and clinical effectiveness. Triads were formed within each of the areas to include a physician leader, nursing or operational leader, and a dedicated improvement consultant.

  • Medication Safety: The Approach to No Harm (encore)
    March 10, 2020 10:40 AM - 11:20 AM

    Children’s Mercy Hospital Kansas City uses an interdisciplinary approach to actively improve medication processes. The hospital’s aim is to maintain zero medication-related harm events. The work through the Adverse Drug Event Hospital Acquired Condition/Medication Process and Safety Committee produced a dramatic decrease in harm associated with the medication process in a 2-year timeframe. It’s estimated that one adverse drug harm event costs an organization $5,746.

  • Multi-Site Process Improvement for Children with Medical Complexity (encore)
    March 10, 2020 10:40 AM - 11:20 AM

    An initiative involving teams from 10 states uses Gloor’s Collaborative Improvement and Innovation Network (CoIIN) and Deming’s Model for Improvement to facilitate process improvement across multiple sites. The work focuses solely on children with medical complexity: their quality of life, the well-being of their families and the cost-effectiveness of their care. Two participants will describe the structure and process of CoIIN and illustrate outcome measurement strategies.

  • Pediatric Vital Signs: A Challenge and Call to All of Us (encore)
    March 10, 2020 10:40 AM - 11:20 AM

    Nationwide Children’s Hospital dramatically improved outcomes for its patients and addressed issues affecting the health of the community at large. Best outcomes for children are often conceptualized as best access, patient safety and patient-family experience. The team broadened that view to define best outcomes as when every child can reach full potential—healthy, active and ready to learn. The project defined key indicators to measure optimal health and outlined interventions to achieve true best outcomes.

  • Networking Lunch
    March 10, 2020 11:20 AM - 01:00 PM

    Join your colleagues for a networking lunch featuring a facilitated panel discussion with CHA Chief Operating Officer Amy Knight and leaders of quality and safety.

  • Cognitive Bias Coding to Improve Safety Event Classification
    March 10, 2020 01:15 PM - 02:00 PM

    Riley Hospital for Children at Indiana University Health uses cognitive bias coding to gather data regarding safety events as a measure to reduce harm events. The presenter will demonstrate the prevalence of cognitive bias in harm events and the role it plays in the wellness of team members. The hospital introduced cognitive bias coding in safety event classification meetings to gather actionable intelligence to combat harm events. The work uncovered the top 10 cognitive biases the hospitals’ providers experience.

  • Development of a Healthcare System Perinatal Quality Collaborative
    March 10, 2020 01:15 PM - 02:00 PM

    Pregnancy-related deaths in the United States increased by 250% from 1987-2014 with 60% of these deaths being preventable with appropriate recognition and responsive care. Children’s Memorial Hermann Hospital developed a multi-campus, multidisciplinary Perinatal Quality Collaborative to optimize the frontline teams and improve facility capability. The collaborative’s work produced a clinical care redesign of the obstetric service line resulting in decreased morbidity rates, decreased length of stay and an annualized savings of $1.6 million.

  • Quality 2030 Update
    March 10, 2020 01:15 PM - 02:00 PM

  • Quality Beyond Safety: Building Specialty Specific Clinical Quality Programs
    March 10, 2020 01:15 PM - 02:00 PM

    Great strides have been made in reducing preventable harm across Children’s Health Children’s Medical Center Dallas via the development of a robust patient safety program. To continue patient outcome improvements, the organization developed a robust clinical quality infrastructure to support sub-specialty areas to move beyond metrics solely focused on harm and into a diverse portfolio of clinical quality metrics. Adoption of standardized improvement methodology and providing Just In Time training on QI concepts was instrumental in driving results.

  • Structured Approach to Accurate Medication Administration at Home
    March 10, 2020 01:15 PM - 02:00 PM

    It can be challenging to determine medications the patient takes at home and ensure an up-to-date list is in the electronic health record. Children’s Wisconsin uses a comprehensive approach to increase accurate medication information for admissions and ambulatory clinics to promote accurate administration at home. Changes allowed Pharmacy to complete medication history on more than 90% of hospitalized patients resulting in the home medication list at 95% accuracy.

  • Collaborative Produces Expected and Unexpected Improvement in a Cardiac Critical Care
    March 10, 2020 02:30 PM - 03:15 PM

    The Pediatric Cardiac Critical Care Consortium (PC4) collects granular data on patients requiring pediatric cardiac intensive care. The collaborative was established to provide infrastructure for benchmarking and quality improvement across centers, driven by high-impact science. The group’s work generated progress in care including two marked improvements in patient outcomes. Expected: participation in the cardiac arrest prevention initiative results in a reduced incidence of cardiac arrest. Unexpected: simple participation in the collaborative results in improved patient outcomes.

  • Eliminate Opioids From Surgery: Impossible or Achievable?
    March 10, 2020 02:30 PM - 03:15 PM

    50 million surgeries occur in the U.S. annually, 2 million of these patients become persistent opioid users, adding to the opioid epidemic that claims 147 lives per day. After their original surgery, 6.7% of adults and 4.8% of adolescents are still using opioids for 90-180 days. Seattle Children’s Hospital has eliminated opioids from outpatient surgery while improving or maintaining all measurable outcomes. Real-time access to outcomes allowed the team to quickly identify stable processes and real improvements.

  • Outpatient Capacity Management in Specialty Care Exam Rooms
    March 10, 2020 02:30 PM - 03:15 PM

    Outpatient Capacity Management (OCM) at Children’s Hospital of Philadelphia focuses on aligning patient demand for outpatient specialty care services with provider capacity and outpatient space. OCM implemented a flexible and easy-to-use scheduling tool the hospital can use in the nearly 650 exam rooms across the specialty care network. The efforts to refill space and fill unreserved rooms have added hundreds of patient visits, increased patient volumes by 6% and generated over $1 million in additional net revenue for the organization.

  • Use of Child Life Specialist to Reduce Anesthesia with MRI
    March 10, 2020 02:30 PM - 03:15 PM

    Children’s Health Children’s Medical Center Dallas developed Kids Can, a program with an interdisciplinary team focused on reducing the number of outpatient MRI exams performed under general anesthesia. The program resulted in a 15% reduction in MRI exams with anesthesia and teams learned that with the correct resources the age a child can perform MRI without anesthesia is much lower than expected.

  • vKids at Home: In-Home Virtual Care for Complex Pediatric Patients
    March 10, 2020 02:30 PM - 03:15 PM

    Children with medical complexity represent less than 1% of all U.S. children but account for over 34% of all pediatric health care costs at $110 billion. Mercy Children’s Hospital – St. Louis started the vKids at Home program to manage medically complex ambulatory pediatric patients with a virtual multidisciplinary clinical team, using home monitoring technology to decrease unnecessary hospital encounters. In the first year, program patients had a 42% reduction in emergency department visits per patient per month.

  • Keynote Presentation - Elizabeth Stanley
    March 10, 2020 03:30 PM - 04:45 PM

  • Networking Reception
    March 10, 2020 04:45 PM - 06:30 PM

    Meet in the Link for networking and light appetizers.

  • Board of Trustees Networking Dinner
    March 10, 2020 06:30 PM - 09:30 PM

    Join your colleagues for a networking dinner.

Wednesday, March 11, 2020 Sessions

  • Power Session: Advance Health Equity
    March 11, 2020 08:00 AM - 09:15 AM

    Children's Mercy Kansas City and Children’s Hospitals and Clinics of Minnesota discuss health equity metrics that show inconsistencies in patient care and solutions for integrating measures.

  • Power Session: Engage Families to Improve the Patient Experience
    March 11, 2020 08:00 AM - 09:15 AM

    Lucile Packard Children’s Hospital and Nationwide Children’s Hospital will share their efforts to broaden family council input and improve communication to enhance the patient experience.

  • Power Session: Reduce Length of Stay
    March 11, 2020 08:00 AM - 09:15 AM

    Children’s Hospital of Philadelphia and The Children’s Hospital of The King’s Daughters describe data-driven and accountability approaches that help reduce the length of stay.

  • Power Session: Transform Data into Solutions
    March 11, 2020 08:00 AM - 09:15 AM

    Johns Hopkins All Children’s Hospital and Yale New Haven Children’s Hospital describe how real-time data can support rapid decision making, improve the patient experience and showcase the health of the organization.

  • Bring Evidence-Based Medicine to the Bedside
    March 11, 2020 09:35 AM - 10:15 AM

    It takes an average of 17 years from the time the best medical literature is published until it reaches the patient. Seattle Children’s Hospital sought to decrease this gap by developing a system to quickly synthesize and evaluate medical literature for quality. Staff built upon the construct of the hospital’s Children's Clinical Standard Work Program. By producing online forms, vital elements of the GRADE system for rating clinical guidelines are documented for every outcome in an average of 30-60 days.

  • Change Management Success with the Precaution-Adoption-Process Model
    March 11, 2020 09:35 AM - 10:15 AM

    Change theory offers a framework to affect the most difficult part of quality improvement: changing personal beliefs and practices. The Precaution-Adoption-Process Model (PAPM) interventions are designed to target individuals along the continuum of change readiness. Children’s Hospital of Richmond at VCU used the PAPM framework to create meaningful interventions for providers and will demonstrate tools to implement the model in your quality improvement or change management work.

  • Nourish Neonates and Improve Outcomes with a Multidisciplinary Quality Team
    March 11, 2020 09:35 AM - 10:15 AM

    NICU staff at West Virginia University Children’s Hospital had participated in nutrition initiatives; however, those efforts did not lead to adequate growth at discharge for very low birth weight (VLBW) infants and did not adequately address increasing the use of maternal breast milk for the VLBW population. To improve growth and breast milk use at discharge, a multidisciplinary team that included families identified multiple change ideas that were tested individually before expanding for full unit implementation.

  • Rev Up Change via Quality Management System Implementation
    March 11, 2020 09:35 AM - 10:15 AM

    Changing accreditation organizations at Children’s Hospital of The King’s Daughters allowed for the integration of accreditation with quality and safety initiatives, and changed how the organization uses quality management and oversight. Since starting a Quality Management System (QMS), the organization’s safety culture has demonstrated improvements through an employee engagement survey, event alerting rates and more robust root cause analysis and apparent cause analysis action plans. The Quality Committee developed 29 organizational action plans related to quality, safety and operations.

  • Stop Pediatric Sepsis through Recognition, Innovation and Organizational Transformation
    March 11, 2020 09:35 AM - 10:15 AM

    Early and accurate recognition of pediatric sepsis is challenging because signs of septic shock are not obvious. Nemours /Alfred I. duPont Hospital and Nemours Children’s Hospital use a Clinical Logistics Center to preemptively identify downturns in patients’ conditions. For the last seven years, the hospitals used the center to monitor the vitals of every patient in both locations. To specifically address sepsis, staff developed a sepsis response tool in 2016 that incorporates a set of protocols to improve patient outcomes for this potentially deadly infection.

  • Communication and Resolution Programs: Achieve the Potential and Avoid the Pitfalls
    March 11, 2020 10:35 AM - 11:20 AM

    Communication and Resolution Programs (CRPs) are principled, comprehensive, and systematic strategies to prevent and respond to adverse events in health care. The dramatic increase in CRP implementation speaks to the potential to enhance safety and the experience of patients, families and providers after harm events. Inconsistent CRP implementation and other barriers can limit an organizations’ CRP successes. The right approach to implementation can maximize benefits.

  • Dashboards for Comparative and Predictive Analytics for Quality Improvement
    March 11, 2020 10:35 AM - 11:20 AM

    As organizations work on data curation and processing multiple sources of duplicated data, a source of truth with meaningful metric interpretation is necessary. By integrating Vizient and PHIS® comparative data, Children’s Memorial Hermann Hospital developed real-time dashboards to consolidate relevant and meaningful metrics and data for the frontline teams and operational leadership. Length of stay, mortalities, readmissions, and case mix index data allowed for patient and diagnosis-related group (DRG) drill down for identified improvement opportunities.

  • Don't Call Us, We'll Call You: Implementing Automated Post-Discharge Calls
    March 11, 2020 10:35 AM - 11:20 AM

    Post-discharge calls are a key strategy to reduce unplanned readmissions. Historical efforts at Children’s National Hospital relied on case management assistants manually calling families. The hospital’s readmissions bundle aimed to create an integrated process for automated post-discharge calls and audits for a medical care unit. Increasing operational efficiencies helped compliance and survey completion rates significantly rise and improve human capacity to address urgent post-discharge care concerns.

  • Effect of Missed Nursing Care on Patient Safety: Teamwork Intervention
    March 11, 2020 10:35 AM - 11:20 AM

    Missed nursing care has an effect on providing safe and quality patient care. Senior nursing leadership at Cook Children’s Medical Center considered addressing missed care as a strategic priority and helped direct teamwork intervention through the Kalisch Teamwork Tactics model. This interactive session will demonstrate implementation of the train-the-trainer model, address barriers and facilitators to using this model, and describe teamwork and missed care measurement tools to evaluate pre- and post-intervention impact.

  • Networking Lunch
    March 11, 2020 11:15 AM - 12:30 PM

    Join colleagues for lunch and networking opportunities.

  • Build a Comprehensive Quality Program: The RITE Program
    March 11, 2020 12:30 PM - 01:20 PM

    Exercising a successful improvement project depends on the use of effective improvement methods. Learn how teams at Lucile Packard Children’s Hospital Stanford and The University of Kansas Health system used the Realizing Improvement through Team Empowerment (RITE) program as a vehicle for change. RITE aligns practical education with a team- and project-based model to produce sustainable results. The organizations share a detailed description of the process and keys to success.

  • Medication Safety Workshop
    March 11, 2020 12:30 PM - 03:30 PM

    A multi-disciplinary workshop focusing on medication safety from a pediatric perspective.

  • Solving a Perioperative Puzzle: Human Factors and OR Hand Hygiene
    March 11, 2020 01:40 PM - 02:25 PM

    Hand hygiene plays a critical role in infection prevention, yet many hospitals don’t design the socio-technical system to promote its performance. By taking a human factors engineering (HFE) approach, Children’s Hospital of Philadelphia produced significant, sustained improvement in hand hygiene compliance in one of the most complex environments—the operating room. The HFE interventions included relatively minor, cost-efficient environmental modifications.

  • Operating Room Directors Forum Hospital Tour
    March 11, 2020 04:00 PM - 05:30 PM

    Join your colleagues for an OR department specific tour at Children’s Mercy Kansas City.

  • Pharmacy Leadership Reception
    March 11, 2020 06:00 PM - 09:00 PM

    Join your colleagues for our networking reception.

Thursday, March 12, 2020 Sessions

  • Infection Prevention Forum
    March 12, 2020 08:00 AM - 05:00 PM

    The Infection Prevention Directors Forum brings together epidemiologists and infection preventionists to provide content expertise and guidance in the prevention of healthcare-associated infections in children and the practice of pediatric infection prevention and control at a national level

  • Operating Room Directors Forum
    March 12, 2020 08:00 AM - 05:00 PM

    Members who attend this meeting network and share pediatric-specific practices to help hospital operating room staff eliminate patient harm, reduce costs and implement operational improvement. Meeting content will include data provided from the perioperative data program, COMPARE, when appropriate.

  • Pharmacy Leadership Forum
    March 12, 2020 08:00 AM - 05:00 PM

    The Pharmacy Leadership Forum provides an opportunity for pediatric pharmacy leaders to network and learn with one another.

  • PHIS Spring Meeting
    March 12, 2020 08:00 AM - 05:00 PM

    The 2020 PHIS Spring Meeting will focus on how PHIS can be utilized within your hospital. Topics we will cover include clinical effectiveness/medical waste, identifying variation of care improvement opportunities, antimicrobial stewardship, clinical pathways, respiratory report cards, and case mix index. We’ll also discuss future PHIS enhancements and actively discuss the use of Tableau to develop visualizations for the topics discussed at the meeting. Anybody interested in using PHIS for these topics at your hospital is welcome to attend!

  • Radiology Directors Forum
    March 12, 2020 08:00 AM - 05:00 PM

    Radiology Directors will discuss methods to improve quality and operations and share best practices for pediatric cardiac care.

  • Infection Prevention Networking Dinner
    March 12, 2020 06:30 PM - 09:30 PM

    Join your colleagues for our forum networking dinner.

  • Operating Room Directors Forum Networking Dinner
    March 12, 2020 06:30 PM - 09:30 PM

    Join your colleagues for our forum networking dinner.

  • Pharmacy Leadership Forum Networking Dinner
    March 12, 2020 06:30 PM - 09:30 PM

    Join your colleagues for our forum networking dinner.

  • PHIS Networking Dinner
    March 12, 2020 06:30 PM - 09:30 PM

    PHIS Spring 2020 meeting attendees will have the opportunity to network with peers while enjoying dinner.

  • Radiology Directors Forum Networking Dinner
    March 12, 2020 06:30 PM - 09:30 PM

    Join your colleagues for our forum networking dinner.

Friday, March 13, 2020 Sessions

  • Infection Prevention Forum
    March 13, 2020 08:00 AM - 12:00 PM

    The Infection Prevention Directors Forum brings together epidemiologists and infection preventionists to provide content expertise and guidance in the prevention of healthcare-associated infections in children and the practice of pediatric infection prevention and control at a national level

  • Operating Room Directors Forum
    March 13, 2020 08:00 AM - 12:00 PM

    Members who attend this meeting network and share pediatric-specific practices to help hospital operating room staff eliminate patient harm, reduce costs and implement operational improvement. Meeting content will include data provided from the perioperative data program, COMPARE, when appropriate.

  • Pharmacy Leadership Forum
    March 13, 2020 08:00 AM - 12:00 PM

    The Pharmacy Leadership Forum provides an opportunity for pediatric pharmacy leaders to network and learn with one another.

  • PHIS Spring Meeting
    March 13, 2020 08:00 AM - 12:00 PM

    The 2020 PHIS Spring Meeting will focus on how PHIS can be utilized within your hospital. Topics we will cover include clinical effectiveness/medical waste, identifying variation of care improvement opportunities, antimicrobial stewardship, clinical pathways, respiratory report cards, and case mix index. We’ll also discuss future PHIS enhancements and actively discuss the use of Tableau to develop visualizations for the topics discussed at the meeting. Anybody interested in using PHIS for these topics at your hospital is welcome to attend!

  • Radiology Directors Forum
    March 13, 2020 08:00 AM - 12:00 PM

    Radiology Directors will discuss methods to improve quality and operations and share best practices for pediatric cardiac care.