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Exemplar pediatric collaborative improvement networks: achieving results.

CPQCC Publication
TitleExemplar pediatric collaborative improvement networks: achieving results.
Publication TypeJournal Article
Year of Publication2013
AuthorsBillett AL, Colletti RB, Mandel KE, Miller M, Muething SE, Sharek PJ, Lannon CM
Volume131 Suppl 4
Date Published2013 Jun
KeywordsAdolescent, Certification, Child, Child Welfare, Child, Preschool, Community Networks, Cooperative Behavior, Cost Savings, Female, Guideline Adherence, Health Services Research, Hospitals, Pediatric, Humans, Infant, Infant, Newborn, Interdisciplinary Communication, Outcome and Process Assessment (Health Care), Pediatrics, Pregnancy, Quality Improvement, Quality Indicators, Health Care, Societies, Medical, Translational Medical Research, United States

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.

Alternate JournalPediatrics
PubMed ID23729760
Grant ListU19HS021114 / HS / AHRQ HHS / United States