Children's Hospitals Today - Summer 2017 - 20

FEATURE / INNOVATION

From medical research to reimbursement changes, children's hospitals have
often learned and adapted strategies from adult institutions. But the pediatric
world is leading in other areas-and innovating in ways that can benefit patients
of all ages. Here's a look at four areas of health care where pediatric hospitals
are out in front-and how the adult health care world is following that lead.
1 | Family-centered care

Gone are the days when patients are
patients and their families are just
families-at least in the children's
hospital setting. "They're not guests
or visitors anymore-they're partners," says Pat Givens, D.H.A., Ed.M.,
RN, NEA-BC, senior vice president
and chief nursing officer at Children's
Hospital Colorado.
In pediatrics, family-centered care
is based on the understanding that
parents and family members are a
child's primary source of strength and
support. This approach to care, which
became more consistently practiced in
the pediatric setting in the 1980s and
early 1990s, incorporates patient and
family input into clinical decisionmaking for the child. This is quite a

20

CHILDREN'S HOSPITAL S TODAY Summer 2017

shift from years ago, when traditional
care models made observers out of
patients and families. Today, they
are active participants, true partners
in care. And the adult world is catching on. "We're guests in the lives of
patients and families-not the other
way around," says Givens. "We're the
ones who are privileged and honored
to be part of their lives. Conceptually,
that's an important thing the pediatric world has taught the adult world."

Rules of (enhanced) engagement
Patient and family involvement is
hardwired into the care strategies
and processes at children's hospitals,
from family-centered rounds where
families help shape the child's care
plan, to families at the bedside and

visiting hours that work best for those
families. All these things can benefit
adults in the hospital just as much as
children, though these ideas caught on
faster in the pediatric setting, according to Givens.
Education is one area of long-time
pediatric strength that Givens says is
really beginning to click in the adult
setting. "People have recognized that
including family members in prehospital education and preparation-
as well as education around the hospitalization and post care-is something
that is happening more in the adult
world now," she says.

Counting on councils
Children's hospitals have increasingly
formalized the way they obtain feedback from patient families through
the creation of family advisory councils (FACs). Here, family members
serve alongside hospital administrators and clinicians to provide input
on patient and family experience and
satisfaction, care and operations, facility updates, safety initiatives and
more. And this is a value-add that
adult hospitals are beginning to latch
onto as well.
Givens has seen this first-hand
because she worked on the adult side
of this equation. Before heading to
Colorado Children's, she served as
chief nursing officer and vice president of patient care services at an
adult community hospital. Just last
year, the hospital began to assemble an
FAC to help better serve their patient



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