• Article
  • March 7, 2018

5 Children's Hospitals Making Big Improvements in Pediatric Quality

From 110 entries, the Pediatric Quality Award judges narrowed the field. All entries brought quality improvement practices to light that other children's hospitals could replicate.

From eliminating serious safety events to reducing emergency department visits, the 2017 Pediatric Quality Award (PQA) uncovered major improvement work happening in children's hospitals. After reviewing 110 entries from 60 members, expert judges selected 13 projects as semifinalists in one of four categories.

"As the judges reviewed the entries, we were struck by how well these projects demonstrated clear changes and benefits," says industry judge Peter Lachman, M.D., chief executive officer, International Society for Quality in Health Care. "The outcomes were very impressive. These are projects with lessons for all children’s hospitals."

CHA honored the semifinalists and announced the winners at the 2017 Quality and Safety in Children's Health Conference on March 6 in San Diego. Here's a look at the winners and the practices that successfully improved patient care, transformed care delivery and reduced costs.

Overall winner and delivery system transformation category winner

Reducing Serious Safety Events in a Children's Hospital 
Yale New Haven Children's Hospital
Outcomes over four years: 852 percent increase in event reporting and $3 million savings.

Category winners

Clinical care
For the first time, judges named two hospitals as category winners, distinguished by their areas of focus: primary care and sub-specialty care.

Primary Care Award: Quality Improvement in Primary Care: Reducing Emergency Department Visits in Children with Asthma
Nationwide Children's Hospital 
Outcomes over six years: 24 percent drop in asthma-related ED visits and $5.2 million reduction in ED costs.

Specialty Care Award: Code Yellow
Monroe Carell Jr. Children’s Hospital at Vanderbilt 
Outcomes over two years: 89 percent of targeted patient population received antibiotics within 60 minutes, an increase of 59 percent.

Patient safety and reduction of harm
Getting To Zero: Eliminating Unplanned Extubations in the PICU
Ochsner Hospital for Children
Outcomes over two years: 43 fewer unnecessary hospital days and $240,000 savings.

Waste reduction/improved efficiency
Reducing Waste of Isoproterenol, a High Cost Medication, Across Multiple Hospital Settings
The Children's Hospital of Philadelphia
Outcomes over two years: $1.2 million in drug spend savings and $1.4 million annual waste cost reduction.

Send questions or comments to magazine@childrenshospitals.org.