Research

Outcomes: Safe

CentralLineAssocbloodstreaminfections 2

INTERPRETATION: Children's Central Line Associated Bloodstream Infections (CLABSI) is improving.  Our ultimate goal is to have zero CLABSIs.  

WHAT WE ARE DOING TO IMPROVE: Children's has implemented central line "bundles" which are a set of best practices used to prevent infections when inserting and maintaining lines.  We monitor adherence to the bundles and provide ongoing education to staff. Children's is also participating in a national collaborative led by the National Association of Children’s Hospital and Related Institutions (NACHRI) to reduce bloodstream infections in Pediatric hematology/oncology units.  

DATA SOURCE: Children's Infection Prevention and Control Surveillance Data 

BENCHMARK DATA: A national benchmark for pediatric hematology/oncology units is not available.

Outcomes: Timely

TimetoAntibiotics

INTERPRETATION: After completing our planned improvements to the process, 75% of the patients from the cancer and blood disorders program who came to the ER with a fever received the ordered dose of antibiotics in an average of 52 minutes.

WHAT WE ARE DOING TO IMPROVE: A multi-disiplinary team including providers from the ER and oncology, as well as pharmacy, IT and our Children's Physician Access have developed a pre-registration process which allows orders to be entered and acted upon prior to patient arriving in the Emergency Room. This allows the antibiotics to be prepared ahead of time and administered to the patient quickly upon arrival to the ER.

DATA SOURCE: Medical record abstraction on a monthly basis.

BENCHMARK DATA: US News and World Report asks for 75% patients presenting to ER get their antibiotic in less than 60 minutes.

Outcomes: Effective

Effective-Mortality hematology

INTERPRETATION: The mortality ratio compares how many patients died (actual) in the hospital to how many were predicted to die given the severity of their illness. A ratio of less than 1.0 means fewer patients died while in the hospital than expected. Children's performs better than its peers.

WHAT WE ARE DOING TO IMPROVE: All departments regularly review their procedures to identify potential ways to improve survival.

DATA SOURCE: Pediatric Health Information System database sponsored by Child Health Corporation of America.

BENCHMARK DATA: Average of 43 other children's hospitals. The other children's hospitals’ ratios are less than 1.0 because the expected number of deaths comes from a larger reference database. Click here for more details.



Effective-Mortality oncology

INTERPRETATION: The mortality ratio compares how many patients died (actual) to how many were predicted to die given the severity of their illness. A ratio of less than 1.0 means fewer patients died than expected. Fewer oncology patients than expected died in our hospital.

WHAT WE ARE DOING TO IMPROVE: All departments regularly review their procedures to identify potential ways to improve survival.

DATA SOURCE: Pediatric Health Information System database sponsored by Child Health Corporation of America.

BENCHMARK DATA: Average of 43 other children's hospitals. The other children's hospitals’ ratios are less than 1.0 because the expected number of deaths comes from a larger reference database. Click here for more details.



Efficient Five-Year

INTERPRETATION: Survival rates are reported in 5-year increments based on the date of diagnosis. Overall, Children’s survival rates for all cancers compare favorably with the SEER average.

WHAT WE ARE DOING TO IMPROVE: All departments regularly review their procedures to identify potential ways to improve survival.

DATA SOURCE: Children's Cancer Registry.

BENCHMARK DATA: The Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute publishes cancer survival data from 18 population-based cancer registries located throughout the United States.

Outcomes: Efficient

Length of Stay

Efficient LOS-Hematology

INTERPRETATION: The length-of-stay ratio compares how long a patient stays in the hospital (actual) to how long they are predicted to stay given the severity of their illness. A ratio of less than 1.0 means a patient’s length of stay was shorter than expected. Children's performs better than its peers on this outcome.

WHAT WE ARE DOING TO IMPROVE: Improved discharge planning is the focus of an ongoing quality improvement project.

DATA SOURCE: Pediatric Health Information System database sponsored by Child Health Corporation of America.

BENCHMARK DATA: Average of 41 other children's hospitals. The other children's hospitals’ ratios are greater than 1.0 because the expected length of stay comes from a larger, national database. Click here for more details.

Efficient LOS-Oncology

INTERPRETATION: The length-of-stay ratio compares how long a patient stays in the hospital (actual) to how long they are predicted to stay given the severity of their illness. A ratio of less than 1.0 means a patient’s length of stay was shorter than expected. Children's performs better than its peers on this outcome.

WHAT WE ARE DOING TO IMPROVE: Improved discharge planning is the focus of an ongoing quality improvement project.

DATA SOURCE: Pediatric Health Information System database sponsored by Child Health Corporation of America.

BENCHMARK DATA: Average of 43 other children's hospitals. The other children's hospitals’ ratios are greater than 1.0 because the expected length of stay comes from a larger, national database. Click here for more details.


Readmission

Readmission-Hematology

INTERPRETATION: Readmission for any condition (within 7 days) may mean that patients are discharged too soon. Children's is roughly the same as the PHIS average on this measure.

WHAT WE ARE DOING TO IMPROVE: Improved discharge planning is the focus of an ongoing quality improvement project.

DATA SOURCE: Pediatric Health Information System database sponsored by Child Health Corporation of America.

BENCHMARK DATA: Average of 41 other children's hospitals. 

Readmission-Oncology

INTERPRETATION: Readmission for any condition (within 7 days) may mean that patients are discharged too soon. This rate does not include patients who come back for chemotherapy. Children's is below the PHIS average on this measure.

WHAT WE ARE DOING TO IMPROVE: Improved discharge planning is the focus of an ongoing quality improvement project.

DATA SOURCE: Pediatric Health Information System database sponsored by Child Health Corporation of America.

BENCHMARK DATA: Average of 43 other children's hospitals.

Outcomes: Patient-Family Centered

193819-1

INTERPRETATION: Most families would definitely recommend Children's to a friend or family member for care at our inpatient location. We are ofen rated above the goal of 88 percent set by our our organization.

WHAT WE ARE DOING TO IMPROVE: We use feedback from our surveys and from our families directly to improve family experiences.

DATA SOURCE: Children's Bi-annual Family Survey

BENCHMARK DATA: Not available.