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
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
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
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
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
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
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
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
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
Improved Family-Centered Care at Lower Cost: Rooming in to Treat Neonatal Abstinence Syndrome
March 7, 2016

The project improved care of opioid-exposed newborns by involving families, standardizing assessment and treatment, and transitioning to rooming-in for the full hospital stay.

Award Entry
Community Asthma Management Program
March 7, 2016

This project focused efforts on the highest utilizers of health care resources, pediatric asthma patients, to better control their disease and prevent emergency department and ICU admissions.

Award Entry
A Multifaceted Approach to Reducing Length of Stay in the NICU
March 7, 2016

This project utilized a multi-pronged approach across disciplines and invested in additional staff, revision of policies, and patient and staff education to reduce the mean length of stay in the NICU.

Award Entry
Subacute Rehabilitation Program
March 7, 2016

The Subacute Rehabilitation Program provides the best therapy plan of care to assist families in becoming more competent in caring for their child with newly acquired neurological injuries.

Award Entry
Improving Time to Antibiotics for Oncology Patients With Fever and a Central Line
March 7, 2016

Providing antibiotics to oncology patients with fever and a central line within one hour of presentation to the emergency department can decrease their morbidity and mortality.

Award Entry
Using Innovation to Improve Care Across the Continuum for Children Requiring Chronic Ventilation
March 7, 2016

The Ventilator Care Program (VCP) provides quality interdisciplinary care to children with chronic respiratory failure who require long term mechanical ventilation (LTMV) in inpatient and outpatient settings.

Award Entry
Space Jam: Improving OR Efficiency Through Physician-Hospital Partnership
March 7, 2016

A physician and hospital leadership partnership utilized the latest in data analytics concepts and technology to optimize the use of operating room space.

Award Entry
Referral to Listing Process for Solid Organ Transplant Patients
March 7, 2016

This project focused on building a comprehensive transplant program with top tier outcomes and patient, family and referring provider satisfaction.

Award Entry
Improving Patient Experience Press Ganey Peer Group Ranking in a Large, Urban Pediatric Emergency Department
March 7, 2016

By forming an emergency department patient experience committee and implementing several initiatives, patient experience measures improved to exceed the 50th percentile peer group rank.

Award Entry
Respiratory Therapy and Skin Integrity
March 7, 2016

The NICU remains below the national benchmark for hospital-acquired pressure ulcers (HAPUs), but data analysis indicates most respiratory related HAPUs were diagnosed at Stage II and greater.

Award Entry
Using Quality Improvement to Reduce Pediatric Catheter Associated Urinary Tract Infections
March 7, 2016

A pediatric-specific CAUTI program focused on the distinct needs of pediatric patients addressed the CAUTI problem and need for a modified approach to improve outcomes.

Award Entry
Innovative Uses of the Electronic Health Record to Enhance Harm Prevention Efforts
March 7, 2016

The project used the Electronic Health Record (EHR) to increase organizational adherence to prevention bundle standards for patients at risk for specific hospital acquired conditions (HACs).

Award Entry
Reduction of Catheter-Associated Urinary Tract Infections in the PICU
March 7, 2016

Reducing unnecessary catheter placement and minimizing the duration the catheter remains in situ are the primary strategies for CAUTI prevention.

Award Entry
Save Our Skin: Pressure Injury Reduction in the PICU
March 7, 2016

After a spike in advanced stage pressure injuries in the PICU, the project focused on reducing preventable harm and explored the factors that contributed to these injuries.

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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