2015 Pediatric Quality Award Entries

Overall winner

Yale-New Haven Children’s Hospital was selected as the overall winner of the 2015 Pediatric Quality Award for its initiative Sustained Reduction in LOS for Neonates with Neonatal Abstinence Syndromea quality improvement project that reduced the number of days infants with neonatal abstinence syndrome (NAS) were hospitalized. The hospital also was named the winner in the clinical care category.

Category winners

Three other children’s hospitals were named category winners, and one was recognized with a distinctive achievement award, for their improvement initiatives: 

Delivery System Transformation Category Winner: Levine Children’s Hospital at Carolinas HealthCare System, Charlotte, NC
Developing Future Improvement Leaders: Experiential QI Training in Residency

Patient Safety and Reduction of Harm Category Winner: Doernbecher Children’s Hospital at OHSU, Portland, OR
Reducing Radiation Exposure: Pediatric Modified Barium Swallow Studies

Waste Reduction and Improved Efficiency Category Winner
: Children’s of Alabama, Birmingham, AL
Decreasing Hospital Length of Stay for Post-operative Adolescent Spinal Fusion Patients

Distinctive Achievement Award, Clinical Care: Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
Using Quality Improvement to Reduce Necrotizing Enterocolitis across Hospital Systems

Learn about the 2015 winners in this 10-minute video.

Entries

Award Entry
Sustained Reduction in Length of Stay for Neonates with Neonatal Abstinence Syndrome
March 9, 2016

(Overall & Category Winner) This project dramatically reduced the length of stay and the usage of morphine for neonatal abstinence syndrome (NAS) infants with intervention bundle focused on baby and family-centered care.

Award Entry
Developing Future Improvement Leaders: Experiential QI Training in Residency
March 8, 2016

(Category Winner) Developing resident quality improvement knowledge and skills promotes a framework of change, preparing providers to transform delivery and improve patient outcomes.

Award Entry
Reducing Radiation Exposure: Pediatric Modified Barium Swallow Studies
March 8, 2016

(Category Winner) An interdisciplinary team reduced radiation exposure to children undergoing modified barium swallow studies without any additional resources except time and coaching.

Award Entry
Decreasing Hospital Length of Stay for Post-Operative Adolescent Spinal Fusion Patients
March 8, 2016

(Category Winner) The pediatric intensive care unit and orthopedic group developed an efficient and effective process for the care of post-operative adolescent spinal fusion patients.

Award Entry
Using Quality Improvement to Reduce Necrotizing Enterocolitis Across Hospital Systems
March 8, 2016

(Achievement Award) The project decreased the number of very low birth-weight infants diagnosed with necrotizing enterocolitis, a devastating disease.

Award Entry
Reducing Laboratory Testing on a Pediatric Hospitalist Service
March 7, 2016

(Semifinalist) Reduce unnecessary lab tests to expedite turn-around time for specimens that are more clinically pressing, allow patients uninterrupted sleep, and result in fewer phlebotomy venipunctures.

Award Entry
Antibiotic Stewardship in Primary Care
March 7, 2016

(Semifinalist) The project increased the overall rate of narrow-spectrum antibiotic prescribing by nearly 10 percentage points and reduced annual costs for families and payers.

Award Entry
Sustained Improvement in Health Care Worker Hand Hygiene by Application of Error Prevention Principles
March 7, 2016

(Semifinalist) The project sustainably improved health care worker hand hygiene with interventions focused on leadership support, HCW knowledge, supply availability, and culture change.

Award Entry
Multifaceted Intervention to Reduce 30 Day Pediatric Asthma Related Readmissions
March 7, 2016

(Semifinalist) A multifaceted approach to address the asthma readmission rate was developed to address outpatient follow-up, inpatient assessments and education, and post-discharge home evaluations.

Award Entry
Right Information: Reimagining Patient Referrals for the 21st Century
March 7, 2016

(Semifinalist) A better way to manage incoming new patient referrals is requiring referring providers to submit referral orders and supporting documents directly into the EHR with 100-percent traceability.

Award Entry
Centralized Breast Milk Preparation and Bar Code Scanning
March 7, 2016

(Semifinalist) Safe handling and preparation of breast milk in a hospital reveals high risk for error, with the biggest areas of concern relating directly to patient safety.

Award Entry
The Spinal Fusion Surgical Home
March 7, 2016

This project utilized lean processes and involved stakeholders from the entire episode of care to enhance recovery evidence-based protocols with Idiopathic Adolescent Scoliosis (IAS) undergoing Posterior Spinal Fusion.

Award Entry
Transforming a Hospital Culture to Achieve Zero Harm
March 7, 2016

In partnership with Solutions for Patient Safety (SPS), the project reduced the rate of hospital acquired conditions and serious safety events by focusing on patient safety culture, leadership practices, cause analysis and process reliability.

Award Entry
Implementation and Sustainability of a Bronchiolitis Clinical Care Guideline
March 7, 2016

This project demonstrates a method of sustained improvement for the Bronchiolitis Clinical Care Guideline by focusing on change management and communication strategies for culture change.

Award Entry
Decreasing Time to IV Antibiotics for Oncology with Fever Patients in the Emergency Department
March 7, 2016

A new pre-arrival registration process allows the ED to prepare for the patient’s arrival in advance with the goal of administering IV antibiotics faster once the patient arrives.

Award Entry
Interpreting the Braden Score: A Quality Improvement Initiative to Decrease Pressure Ulcers in a Pediatric Critical Care Unit
March 7, 2016

The Critical Care Unit (CCU) sought to reduce pressure ulcers related to positioning with a LEAN Six Sigma approach that created understanding and resolved the problem.

Award Entry
Care Coordination for Medically Complex Children
March 7, 2016

This project pursues the Triple Aim for children with medical complexity by improving care through proactive care coordination and lowering cost by decreasing avoidable acute care interactions.

Award Entry
Increasing Rates of Influenza Vaccination in a Pediatric Emergency Department Utilizing Automation in an Electronic Medical Record (EMR)
March 7, 2016

An electronic medical record (EMR) solution was implemented to increase influenza vaccination rates of patients discharged from the ED.

Award Entry
Pre-Registration Team Goal
March 7, 2016

The hospital needed a plan to determine coverage prior to appointments, which inspired the development of a new process for pre-registration.

Award Entry
Optimizing Clinic Supplies for Improving Patients Experience
March 7, 2016

The goal of this project was to maximize a patient’s experience by ensuring that needed supplies are readily available at an optimized cost.

Award Entry
Transforming Pediatric Diabetes Care to Improve Patient Outcomes
March 7, 2016

The care process team (CPT) developed a comprehensive Diabetes Care Unit (DCU) which would provide best-in-class management and education leading to improvement in quality of care.

Award Entry
FASTBREAK: Overcoming Hurdles to Prompt Treatment of Neutropenic Fever
March 7, 2016

When all sites had a delay of antibiotic therapy for patients with possible sepsis, an improvement project focused on the safety of febrile neutropenic patients by administering antibiotics within 60 minutes.

Award Entry
Improved Operating Room Utilization: Interventions to Decrease Last-Minute Cancellation and Improve Efficiency
March 7, 2016

By applying quality improvement methods, significant reductions were made in OR time lost due to day-of-surgery cancellation.

Award Entry
Reducing CLABSIs Through Team Empowerment
March 7, 2016

The NICU achieved a statistically significant reduction in the unit’s rate of infection utilizing a team-based approach in bundle implementation approaches and central line best practices.

Award Entry
Improvement in Care Transition of Post-Operative Spinal Fusion Patients Between OR and PICU
March 7, 2016

The primary aim of this project was to identify multiple opportunities for error reduction and decrease the number of handoffs, wait times and handoff errors between OR and PICU by 50 percent.

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2017 Judges

Judging this year's entries are pediatric quality experts from children's hospitals and allied organizations including the American Board of Medical Specialties Research and Education, American Board of Pediatrics, and the International Society for Quality in Health Care.

Past Award Entries