CHA discontinued these quality improvement programs that have completed their mission and lifecycle.
PICU CLABSI Collaborative
From October 2006 to December 2014, this collaborative focused on preventing central line-associated blood stream infections (CLABSI) in the pediatric intensive care unit (PICU). Participants in this initiative implemented "best practice" bundles to prevent CLABSI while collecting monthly data. Teams also tested new interventions systematically and quickly using the collaborative's large sample sizes and methodological rigor.
Participants in the collaborative achieved the following results:
- Saved nearly 600 lives
- Prevented almost 5,000 infections
- Saved over $174 million
Program collaborators set out to test infection prevention approaches that address day-to-day care of the central line (line maintenance), and demonstrated that line maintenance is essential for preventing these infections in the pediatric population. (Reducing PICU Central Line–Associated Bloodstream Infections: 3-Year Results, Miller M, Niedner M, Huskins W, et al. Pediatrics 2011; peds.2010-3675)
These multidisciplinary performance-measurement and continuous-improvement groups engaged in data-driven improvement and research projects to identify the best clinical care standards for children. Member-selected, member-driven work plans were forged. Results ranged from improved care and better outcomes for patients, to more efficient staffing, better use of resources and more efficient procedures.
- Emergency Services FOCUS Group
- Inpatient Care FOCUS Group
- PICU FOCUS Group
All FOCUS Group programs concluded work in 2014.
STEPP IN Collaborative
The Safe Transitions and Euthermia in the Perioperative Period in Infants and Neonates (STEPP IN) collaborative was an interdisciplinary collaborative effort between neonatal, surgical and anesthesia services. Teams implemented standardized communication processes and developed systems to track compliance while evaluating outcome and balancing measures. The project aimed to decrease the incidence of post-operative hypothermia by 50 percent and reduce hand-off related care failures by 30 percent.
The STEPP In Collaborative completed work in 2015.
Whole Systems Measures
Operating from July 2008 through June 2016, the measures in this program were intended to assess performance by participating hospitals of the entire pediatric system over time to support systemic improvement and accelerate change.
Development of the 11 pediatric-specific metrics by multidisciplinary and multi-hospital groups was guided by the work of the Institute for Healthcare Improvement. Confidentiality of data and data use agreements for organizational improvement, research, publication and external use of data are still in effect.