Children's Hospitals Today - Summer 2016 - 30

associationnews DATA DIVE Benchmarking to improve outcomes and reduce costs PHIS comparative data helps hospitals identify areas of improvement within specific populations and care practices. A sthma, pneumonia and bronchiolitis are leading causes of admission for pediatric patients. However, treatment for these conditions varies greatly among hospitals using care services data from PHIS, part of CHA's Pediatric Analytic Solutions portfolio. In 2012, Pediatrics published a study that used the achievable benchmarks of care (ABC) methodology to identify potentially better-performing hospitals in relation to these conditions. The ABC methodology uses existing data to calculate standards $1.6 million savings over three years based on the top performers in a peer group. In that study, Ann & Robert H. Lurie Children's Hospital of Chicago ranked 33 out of 42 hospitals across the cumulative indicators for asthma, bronchiolitis and pneumonia, indicating the hospital had significant opportunities for improvement. Two years later, CHA completed a reassessment of the rankings using 2014 data, which showed the hospital shifted into second place out of 42. "Bronchiolitis was a high-volume and high-variation diagnosis," says Sangeeta Schroeder, M.D., hospitalist at Lurie Children's. "In 2013, we put together a multidisciplinary team to create a clinical care guideline focused on reducing the use of unnecessary testing and treatments, and we saw areas we could improve on." The bronchiolitis team at Lurie Children's took a new approach to these common conditions, which resulted in positive outcomes for patients and the hospital. Results included more appropriately placing inpatient and observation patients with bronchiolitis. Administration of more than one dose of a bronchodilator decreased from 42 percent to 11 percent, which is in accordance with the peer benchmark. And chest X-ray use stabilized at 20 percent, well below the norm for other hospitals. By reducing variation in care, the hospital also reduced costs per patient by 33 percent. This translated to savings of $1.6 million-or almost $5,000 per patient- between June 2012 and March 2015. For information on CHA's Pediatric Analytic Solutions portfolio, visit childrenshospitals.org/pedsdata. MEMBER UPDATE Hospitals join CHA CHA welcomes two new hospitals to its membership: Newark Beth Israel Children's Hospital of New Jersey Kaiser Permanente Children's Care Network, Los Angeles Medical Center ADVOCACY Taking it to the top Families talk ACE Kids Act with Congress. M ore than 40 children and their families met with members of Congress during the Children's Hospital Association's Speak Now for Kids Family Advocacy Day, June 22 in Washington, D.C. They discussed with legislators how passing the ACE Kids Act would help improve quality and care coordination for children with medical complexity. 30 CHILDREN'S HOSPITAL S TODAY Summer 2016 Above: Sen. Chuck Grassley, R-Iowa, visited with Sophia Karwal and her family. Above right: Sen. Elizabeth Warren, D-Mass., met Emma Morris and her brother. Right: Kids jammed at the Patriotic Celebration. childrenshospital s.org http://www.childrenshospitals.org/pedsdata http://www.childrenshospitals.org

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