Children’s hospitals are not only leading innovative improvement initiatives inside their own walls, they’re active participants in collaboratives with other hospitals and industry experts to improve the delivery of pediatric health care.
Improving Outcomes, Value and Care in Acute Care
Children’s hospitals are participating in several initiatives aimed at reducing variability in care practices where standardization will improve outcomes and reduce costs.
Improving Pediatric Sepsis Outcomes Collaborative
Sepsis is a difficult condition to recognize in both adults and children. U.S. hospitals see 20-40,000 pediatric cases each year, and more than 4,500 children die as a result of sepsis. Costs of treatment are high; in 2005, costs totaled $4.8 billion and represented 16 percent of all U.S. health care costs. This collaborative effort among children’s hospitals will reduce sepsis mortality, and by preventing severe sepsis, reduce morbidity and decrease costs.
Standardizing Transitions & Euthermia in the Perioperative Period in Infants & Neonates: A Multi-center Quality Collaborative Reducing Post-operative Hypothermia & Post-operative Care Failures In Neonates (STEPP IN)
Neonates are at risk for hypothermia during the intraoperative period. Temperatures outside of normal core temperatures can be associated with changes in physiological status, infection, tissue damage and/or death. A multi-center quality initiative focused on lowering post-operative hypothermia rates and developing a standardized approach to handoff communications (a Joint Commission standard) across 24 centers.
Improving Outcomes, Value and Care in Chronic Illness
Children’s hospitals are working to make quality care more affordable and reduce health disparities by developing and spreading new health care delivery models, targeting leading causes of morbidity and mortality, and improving care coordination across the continuum.
Standardizing Care to improve Outcomes in Pediatric ESRD (SCOPE) Collaborative
The Association’s pediatric dialysis network, SCOPE, is a national network of children’s hospitals dialysis units collaborating in quality improvement and applied research. SCOPE works to improve outcomes, care and value for high-impact challenges for pediatric dialysis patients in pediatric dialysis (PD) centers, by using large-scale collaboration to rapidly identify and spread effective interventions.
Childhood Cancer and Blood Disorders Network: Eradicating Ambulatory Central Line-Associated Bloodstream Infections (CLABSI)
Focused on both the inpatient and ambulatory patient populations, this project aims to reduce CLABSI among pediatric hematology/oncology patients. It’s part of a broader effort to assist pediatric hematology/oncology teams in using quality improvement methods to develop and implement evidence-based practices.