Children's Hospitals Today - Summer 2017 - 21

INNOVATION / FEATURE

population. "The adult world sees how
important families are when it comes
to patient satisfaction," Given says.
At Colorado Children's, family
members engage with the organization on multiple levels, from the FAC
and the Youth Advisory Council, to
positions on committees such as the
Medication Safety Committee and
the Quality & Safety Committee of
the Board. Families also have roles at
the unit level. And as a way to ensure
family input on initiatives before
they are implemented, the hospital
launched a campaign called, "Did you
ask a parent?"
"With everything we do, that's one
of the questions we ask, 'Have we
asked a parent?' 'Have we asked a
patient?' 'Have we asked a family?'"
says Givens. "It's part of the culture."
A culture that leading adult hospitals,
including Mount Sinai Hospital, The
Johns Hopkins Hospital and DanaFarber Cancer Institute, to name a few,
are working to emulate through their
patient and family advisory councils.

2 | Patient safety
Preventable harm occurs even in the
best hospitals, and for children's hospitals, patient safety and a focus on improving practices for the best outcomes
has long been a top priority. With almost 60 children's hospitals reporting
safety events each month, the Child
Health Patient Safety Organization
(Child Health PSO) enables children's
hospitals to share safety event information and experiences to provide early warning of possible harm and speed
up the elimination of preventable
harm. As the only federally registered
PSO dedicated to children's hospitals
that provides federal privilege protections for confidential event reporting,
the organization aggregates events so
all Child Health PSO member hospitals can learn and drive improvement

within their own organizations.
In an effort to share data around
safety and adopt an "all teach, all learn"
philosophy, the Children's Hospitals'
Solutions for Patient Safety Network
(CHSPS) and its 100-plus children's
hospitals focus on helping children's
hospitals emerge as high-reliability
organizations, similar to the nuclear
power and aviation industries. These
industries operate under extremely
high-risk situations, but are able to
minimize accidents in environments
where accidents can be expected.

Throwing competition
to the wind
Riley Children's Health at Indiana
University Health is a member of the
Child Health PSO and CHSPS. The
team there has seen significant results
since joining the networks. The hospital has reduced patient falls with injury, surgical site infections, catheterrelated urinary tract infections-and
decreased central line-associated
blood infections by 21 percent, according to Elaine Cox, M.D., medical director of infection prevention and patient
safety officer at Riley Children's. She
says these results are, in large part,
attributable to a shared willingness
among children's hospitals to set competition aside-no caregiver wants to
see harm repeated. "There isn't ever
a time when we should be competing
with any hospital on patient safety,"
says Cox. "It's just not something we
should be doing."

Taking the right road
Riley Children's is a children's hospital within the Indiana University
Health System, an entity of 10-plus
adult hospitals, and a system that is
paying close attention to the patient
safety results Riley Children's has
achieved. "The adult side is emulating a lot of the safety efforts, and that

kind of thing is happening all over the
country," Cox says.
The adult hospitals in the system
participate in a weekly safety event
call with Riley Children's, and the
teams share information both ways.
In a recent meeting, Cox says, one of
the adult hospital representatives said
their patient safety story is similar to
that of Riley Children's; it was " just a
few years behind."
Despite the lag, the adult hospitals
in the system are seeing decreases
in harm like they never have before,
Cox says, as they follow the children's
hospital's lead on patient safety. "I'm
proud that children's hospitals lead
this charge of safety, but I'm also
proud it's really not about children's
hospital or adult hospitals, it's about
all hospitals," says Cox. "That's a great
direction for all of us to be moving."

3 | Care coordination
and collaboration
Care coordination-the deliberate
organization of patient care activities
between two or more participants
involved in that patient's care to ensure proper delivery of services-is
practiced in health care institutions
around the country, large and small,
adult and pediatric. But children's
hospitals have had an edge. "Children's
hospitals have excelled in the process
of doing the care mapping and the
coordination," says Byron Atkinson,
vice president and leadership advisor
at B.E. Smith in Lenexa, Kansas. "Some
of the adult hospitals had been leading
the charge on those things, but they
did take a lot of that from the literature from pediatric centers."

Coordinating complex care
With a growing population of pediatric
patients with complex medical conditions-there are now more than 3 million nationwide, and Medicaid covers

CHILDREN'S HOSPITAL S TODAY Summer 2017

21



Table of Contents for the Digital Edition of Children's Hospitals Today - Summer 2017

Contents
Children's Hospitals Today - Summer 2017 - Cover1
Children's Hospitals Today - Summer 2017 - Cover2
Children's Hospitals Today - Summer 2017 - Contents
Children's Hospitals Today - Summer 2017 - 2
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