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Exemplar pediatric collaborative improvement networks: achieving results.
MedLine Citation:
PMID:  23729760     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A number of pediatric collaborative improvement networks have demonstrated improved care and outcomes for children. Regionally, Cincinnati Children's Hospital Medical Center Physician Hospital Organization has sustained key asthma processes, substantially increased the percentage of their asthma population receiving "perfect care," and implemented an innovative pay-for-performance program with a large commercial payor based on asthma performance measures. The California Perinatal Quality Care Collaborative uses its outcomes database to improve care for infants in California NICUs. It has achieved reductions in central line-associated blood stream infections (CLABSI), increased breast-milk feeding rates at hospital discharge, and is now working to improve delivery room management. Solutions for Patient Safety (SPS) has achieved significant improvements in adverse drug events and surgical site infections across all 8 Ohio children's hospitals, with 7700 fewer children harmed and >$11.8 million in avoided costs. SPS is now expanding nationally, aiming to eliminate all events of serious harm at children's hospitals. National collaborative networks include ImproveCareNow, which aims to improve care and outcomes for children with inflammatory bowel disease. Reliable adherence to Model Care Guidelines has produced improved remission rates without using new medications and a significant increase in the proportion of Crohn disease patients not taking prednisone. Data-driven collaboratives of the Children's Hospital Association Quality Transformation Network initially focused on CLABSI in PICUs. By September 2011, they had prevented an estimated 2964 CLABSI, saving 355 lives and $103 722 423. Subsequent improvement efforts include CLABSI reductions in additional settings and populations.
Authors:
Amy L Billett; Richard B Colletti; Keith E Mandel; Marlene Miller; Stephen E Muething; Paul J Sharek; Carole M Lannon
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  131 Suppl 4     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-06-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S196-203     Citation Subset:  AIM; IM    
Affiliation:
James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229. carole.lannon@cchmc.org.
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