The 2015 Pediatric Quality Award category winners share their advice for hospitals pursuing similar quality improvement projects.
By Kaitie Marolf
Every two years, CHA member hospitals submit applications for The Pediatric Quality Award, which showcase Quality Improvement (QI) efforts in Clinical Care, Delivery System Transformation, Patient Safety and Reduction of Harm, and Waste Reduction/Improved Efficiency. An expert panel of judges reviews blinded entries to select semifinalists, category winners and an overall winner.
The following 2015 category winners share their advice for other hospitals pursuing similar project.
Developing future improvement leaders: experiential QI training in residency
Levine Children's Hospital at Carolinas Healthcare System developed a QI curriculum for their residents that grants exposure to QI concepts without adding to the student's workload.
- Use non-physician experts such as a QI coach and data analyst.
- Look for creative ways to incorporate learning time into resident schedules.
- Use the Personal Improvement Project to introduce QI concepts.
Reducing radiation exposure: pediatric modified barium swallow studies
Doernbecher Children's Hospital at OHSU minimized radiation exposure to their swallow study patients by making a few procedural changes.
- Foster curiosity about quality improvement possibilities.
- Allow new leaders to surprise you.
- Know that success comes in many different forms.
- Balancing measures is hard, so come up with a reliable measurement system.
- Figure out your way of pursuing improvement of care.
Decreasing hospital length of stay for post-operative adolescent spinal fusion patients
Children's of Alabama created a bundle of care for their spinal fusion patients in order to meet the hospitals need to decrease length of stay in the PICU.
- Help create a cultural paradigm shift.
- Create groups of frontline staff with QI leadership experience.
- Give staff members a practical education in QI lingo.
- Identify what will make a group of providers interested in change.
Using quality improvement to reduce necrotizing enterocolitis (NEC) across hospital systems
Cincinnati Children's Hospital Medical Center significantly decreased the occurrences of NEC by standardizing care.
- Approach the problem from a variety of angles simultaneously.
- Examine data in a frequent and accurate manner.
- Recognize the limitations of national benchmarking networks.
- Create an established protocol to allow for internal consistency.
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