A quality improvement collaborative to improve the discharge process for hospitalized children

Pediatrics

Volumn 138, Issue 2, 2016, Pages

  Wu, Susan ^a,b   Tyler, Amy ^c,d   Logsdon, Tina ^e   Holmes, Nicholas M ^f,g   Balkian, Ara ^a,b   Brittan, Mark ^c,d   Hoover, Lavonda ^b   Martin, Sara ^d   Paradis, Melisa ^h   Sparr Perkins, Rhonda ^g   Stanley, Teresa ⁱ   Weber, Rachel ^g   Saysana, Michele ^i,j  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b CHILDREN S HOSPITAL LOS ANGELES   (United States)

^c University of Colorado Denver and Children s Hospital Colorado   (United States)

^d CHILDREN S HOSPITAL COLORADO   (United States)

^e CHILDREN S HOSPITAL ASSOCIATION   (United States)

^f UNIVERSITY OF CALIFORNIA   (United States)

^g RADY CHILDREN'S HOSPITAL   (United States)

^h CHILDREN S HOSPITAL AND MEDICAL CENTER   (United States)

ⁱ RILEY HOSPITAL FOR CHILDREN   (United States)

^j INDIANA UNIVERSITY   (United States)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; FAMILY ATTITUDE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HOSPITALIZED CHILD; HUMAN; MULTICENTER STUDY; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; TELECONSULTATION; TERTIARY CARE CENTER; UNITED STATES; AFTERCARE; CHILD; CLINICAL TRIAL; COOPERATION; HOSPITAL; HUMAN RELATION; ORGANIZATION AND MANAGEMENT; PATIENT CARE PLANNING; PROCEDURES; STANDARDS; STATISTICS AND NUMERICAL DATA; TOTAL QUALITY MANAGEMENT; TREATMENT OUTCOME;

AFTERCARE; CHILD; CHILD, HOSPITALIZED; COOPERATIVE BEHAVIOR; HOSPITALS, PEDIATRIC; HUMANS; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT CARE PLANNING; PATIENT DISCHARGE; PATIENT READMISSION; PROFESSIONAL-FAMILY RELATIONS; QUALITY IMPROVEMENT; UNITED STATES;

EID: 84982852301     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2014-3604     Document Type: Article

References (52)

1. Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-126
2. Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-187
3. Greenwald JL, Jack BW. Preventing the preventable: reducing rehospitalizations through coordinated, patient-centered discharge processes. Prof Case Manag. 2009;14(3):135-140, quiz 141-142
4. Greenwald JL, Denham CR, Jack BW. The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process. J Patient Saf. 2007;3(2):97-106
5. Moore C, Wisnivesky J, Williams S, McGinn T. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J Gen Intern Med. 2003;18(8):646-651
6. Forster AJ, Clark HD, Menard A, et al. Adverse events among medical patients after discharge from hospital. CMAJ. 2004;170(3):345-349
7. Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. Adverse drug events occurring following hospital discharge. J Gen Intern Med. 2005;20(4):317-323
8. Hansen LO, Greenwald JL, Budnitz T, et al. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med. 2013;8(8):421-427
9. Williams MV, Budnitz T, Coleman EA, et al. The Society of Hospital Medicine Project BOOST Implementation Guide to Improve Care Transitions. 2014. Available at: www.hospitalmedicine.org/Web/Quality-Innovation/Implementation-Toolkits/Project-BOOST/Web/Quality--Innovation/Implementation-Toolkit/Boost/First-Steps/Implementation-Guide. aspx. Accessed May 1, 2014
10. Re-Engineered Discharge (RED) Toolkit. 2014. Agency for Healthcare Research & Quality (AHRQ). Available at: www.ahrq.gov/professionals/systems/hospital/red/toolkit/index.html. Accessed September 10, 2014
11. Boutwell A, Jencks S, Nielsen GA, Rutherford P. State Action on Avoidable Rehospitalizations (STAAR) Initiative: Applying Early Evidence and Experience in Front-Line Process Improvements to Develop a State-Based Strategy. Cambridge, MA: Institute for Healthcare Improvement; 2009
12. White CM, Statile AM, White DL, et al. Using quality improvement to optimise paediatric discharge efficiency. BMJ Qual Saf. 2014;23(5):428-436
13. Shen MW, Hershey D, Bergert L, Mallory L, Fisher ES, Cooperberg D. Pediatric hospitalists collaborate to improve timeliness of discharge communication. Hosp Pediatr. 2013;3(3):258-265
14. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418-1428
15. Centers for Medicare & Medicaid Services. Readmissions Reduction Program. 2014. Available at: www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS /Readmissions-Reduction-Program.html. Accessed September 10, 2014
16. Berry JG, Toomey SL, Zaslavsky AM, et al. Pediatric readmission prevalence and variability across hospitals [published correction appears in JAMA. 2013;309(10):986]. JAMA. 2013;309(4):372-380
17. Hain PD, Gay JC, Berutti TW, Whitney GM, Wang W, Saville BR. Preventability of early readmissions at a children's hospital. Pediatrics. 2013;131(1). Available at: www.pediatrics.org/cgi/content/full/131/1/e171
18. Gay JC, Hain PD, Grantham JA, Saville BR. Epidemiology of 15-day readmissions to a children's hospital. Pediatrics. 2011;127(6). Available at: www.pediatrics.org/cgi/content/full/127/6/e1505
19. Coller RJ, Klitzner TS, Lerner CF, Chung PJ. Predictors of 30-day readmission and association with primary care follow-up plans. J Pediatr. 2013;163(4):1027-1033
20. Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2). Available at: www.pediatrics.org/cgi/content/full/134/2/e572
21. Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Pediatrics. 2011;128(2). Available at: www.pediatrics.org/cgi/content/full/128/2/e438
22. Bundy DG, Gaur AH, Billett AL, He B, Colantuoni EA, Miller MR; Children's Hospital Association Hematology/Oncology CLABSI Collaborative. Preventing CLABSIs among pediatric hematology/oncology inpatients: national collaborative results. Pediatrics. 2014;134(6). Available at: www.pediatrics.org/cgi/content/full/134/6/e1678
23. Jeffries HE, Mason W, Brewer M, et al. Prevention of central venous catheter-associated bloodstream infections in pediatric intensive care units: a performance improvement collaborative. Infect Control Hosp Epidemiol. 2009;30(7):645-651
24. Sharek PJ, McClead RE Jr, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4). Available at: www.pediatrics.org/cgi/content/full/122/4/e861
25. Institute for Healthcare Improvement. The Breakthrough Series: IHI's Collaborative Model for Achieving Breakthrough Improvement. 2003. IHI Innovation Series white paper, Cambridge, M.A.
26. Kilo CM. A framework for collaborative improvement: lessons from the Institute for Healthcare Improvement's breakthrough series. Qual Manag Health Care. 1998;6(4):1-13
27. Kilo CM. Improving care through collaboration. Pediatrics. 1999;103(1 suppl E):384-393
28. Billett AL, Colletti RB, Mandel KE, et al. Exemplar pediatric collaborative improvement networks: achieving results. Pediatrics. 2013;131(suppl 4):S196-S203
29. Lannon CM, Peterson LE. Pediatric collaborative networks for quality improvement and research. Acad Pediatr. 2013;13(6 suppl):S69-S74
30. Boutwell A, Hwu S. Effective Interventions to Reduce Rehospitalizations: A Survey of the Published Evidence. Cambridge, MA: Institute for Healthcare Improvement; 2009
31. Institute for Healthcare Improvement. Assessment Scale for Collaboratives. Available at: www.ihi.org/resources/Pages/Tools/AssessmentScalefo rCollaboratives. aspx. Accessed September 10, 2014
32. Perla RJ, Provost LP, Murray SK. The run chart: a simple analytical tool for learning from variation in healthcare processes. BMJ Qual Saf. 2011;20(1):46-51
33. Provost LP, Murray SK. The Health Care Data Guide: Learning From Data for Improvement. San Francisco, CA: John Wiley & Sons; 2011
34. Coleman EA, Berenson RA. Lost in transition: challenges and opportunities for improving the quality of transitional care. Ann Intern Med. 2004;141(7):533-536
35. Auger KA, Kenyon CC, Feudtner C, Davis MM. Pediatric hospital discharge interventions to reduce subsequent utilization: a systematic review. J Hosp Med. 2014;9(4):251-260
36. Crocker JB, Crocker JT, Greenwald JL. Telephone follow-up as a primary care intervention for postdischarge outcomes improvement: a systematic review. Am J Med. 2012;125(9):915-921
37. Braun E, Baidusi A, Alroy G, Azzam ZS. Telephone follow-up improves patients satisfaction following hospital discharge. Eur J Intern Med. 2009;20(2):221-225
38. Coller RJ, Nelson BB, Sklansky DJ, et al. Preventing hospitalizations in children with medical complexity: a systematic review. Pediatrics. 2014;134(6). Available at: www.pediatrics.org/cgi/content/full/134/6/e1628
39. Morse RB, Hall M, Fieldston ES, et al. Hospital-level compliance with asthma care quality measures at children's hospitals and subsequent asthma-related outcomes. JAMA. 2011;306(13):1454-1460
40. Sobota A, Graham DA, Neufeld EJ, Heeney MM. Thirty-day readmission rates following hospitalization for pediatric sickle cell crisis at freestanding children's hospitals: risk factors and hospital variation. Pediatr Blood Cancer. 2012;58(1):61-65
41. Kenyon CC, Melvin PR, Chiang VW, Elliott MN, Schuster MA, Berry JG. Rehospitalization for childhood asthma: timing, variation, and opportunities for intervention. J Pediatr. 2014;164(2):300-305
42. Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-912
43. Gay JC, Agrawal R, Auger KA, et al. Rates and impact of potentially preventable readmissions at children's hospitals. J Pediatr. 2015;166(3):613-619.e5
44. Bardach NS, Vittinghoff E, Asteria-Pealoza R, et al. Measuring hospital quality using pediatric readmission and revisit rates. Pediatrics. 2013;132(3):429-436
45. Nakamura MM, Toomey SL, Zaslavsky AM, et al. Measuring pediatric hospital readmission rates to drive quality improvement. Acad Pediatr. 2014;14(5 suppl):S39-S46
46. Press MJ, Scanlon DP, Ryan AM, et al. Limits of readmission rates in measuring hospital quality suggest the need for added metrics. Health Aff (Millwood). 2013;32(6):1083-1091
47. Berry JG, Blaine K, Rogers J, et al. A framework of pediatric hospital discharge care informed by legislation, research, and practice. JAMA Pediatr. 2014;168(10):955-962, quiz 965-966
48. Auger KA, Simon TD, Cooperberg D, et al. Summary of STARNet: seamless transitions and (re) admissions network. Pediatrics. 2015;135(1):164-175
49. Mittman BS. Creating the evidence base for quality improvement collaboratives. Ann Intern Med. 2004;140(11):897-901
50. Øvretveit J, Bate P, Cleary P, et al. Quality collaboratives: lessons from research. Qual Saf Health Care. 2002;11(4):345-351
51. Leape LL, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Qual Saf Health Care. 2006;15(4):289-295
52. Nembhard IM. Learning and improving in quality improvement collaboratives: which collaborative features do participants value most? Health Serv Res. 2009;44(2 pt 1):359-378