Children's Hospitals Today - Winter 2018 - 20

FEATURE / INNOVATION

FAMILY COMMUNICATION

KEEP
PARENTS IN
THE KNOW

LENGTH OF STAY

GROUP NEONATES WITH SIMILAR CONDITIONS
WHEN PRABHU PARIMI,
M.D., joined Johns Hopkins All
Children's Hospital in
St. Petersburg, Florida, two
years ago, he found a care
model that didn't fit his vision
for optimal, patient outcomes,
including a continuum of care
from pre-birth through early
childhood. "What I saw was that
despite the babies being in one
unit, care seemed fragmented,"
says Parimi, director of its
Maternal, Fetal & Neonatal
Institute and Neonatology
Division chief. "It struck me
that grouping them together
was the best way to address
this problem." Over the last
year, the first phase of this
plan took shape with a focus
on a Neonatal Abstinence
Syndrome (NAS) cohort. NAS
babies were located together

in one area of the NICU,
along with a dedicated team
of clinical experts specific
to the needs of this patient
population. Additionally, a

Getting results
Using the grouping model
for babies with NAS, the
hospital had:

 A 41 percent
reduction in the use of
pharmacotherapy
 An increase in the use
of mother's milk in the
eligible population,
from 69 percent to
100 percent
 A reduction in average
length of stay from 16
days to nine days

3 more ideas to "borrow"
Still looking for more inspiration to
kick-start the year? Here are some
quality and safety success stories
that are adaptable for your hospital.

20

CHILDREN'S HOSPITAL S TODAY Winter 2018

team of NAS-specific providers
was assembled to perform a
dedicated rounding process
for the NAS group. The biggest
investment children's hospitals
need to make to replicate
this approach is time, Parimi
says. Still, it only took a matter
of months for the team at All
Children's to fully implement
this new strategy-from the
new co-location and staffing
model to getting all of the team
members in sync. In addition to
the measurable benefits, Parimi
says this drives an important
culture shift. "Establishing a
cooperative effort across the
care providers is the most
important part of it," Parimi says.
"Caring for patients this way will
change the physician culture
toward one of collaboration and
relationship building."

CHILDREN'S HOSPITALS
ARE finding new ways to
keep families informed
when their children
are rushed away to
receive critical care.
Using Snapchat-like,
HIPAA-compliant apps,
Nationwide Children's
Hospital in Columbus, Ohio;
Arnold Palmer Hospital for
Children in Orlando; and St.
Louis Children's Hospital
are among those using
technology to keep families
up to date while they wait
for their child to come out
of surgery. Hospitals are
sharing secure, real-time
communications from
the operating room with
anxious parents in the
waiting room. They are also
using Snapchat to engage
patients and families in the
community. As a messaging
platform and social
network, Snapchat lets
users "chat" with friends by
sending photos or videos.
One distinguishing factor
of Snapchat is the fleeting
nature of all content shared
on the platform. Photos

BREASTMILK ADMINISTRATION

$30,000 in costs avoided
Children's Hospital of Orange County
(CHOC) instituted process improvements
to essentially eliminate breast milk
administration errors. CHOC centralized all
breast milk administration to a nutrition lab
and added barcode scanning to all breast
milk containers to ensure accuracy. In the

four years since the barcode scanning
process was instituted, there have been just
two administration errors. Having removed
the need for a second dietician in the
nutrition lab, CHOC realized $30,000 in costs
avoided. Learn more: childrenshospitals
.org/breastmilk


http://childrenshospitals.org/breastmilk http://childrenshospitals.org/breastmilk

Table of Contents for the Digital Edition of Children's Hospitals Today - Winter 2018

Contents
Children's Hospitals Today - Winter 2018 - Intro
Children's Hospitals Today - Winter 2018 - Cover1
Children's Hospitals Today - Winter 2018 - Cover2
Children's Hospitals Today - Winter 2018 - Contents
Children's Hospitals Today - Winter 2018 - 2
Children's Hospitals Today - Winter 2018 - 3
Children's Hospitals Today - Winter 2018 - 4
Children's Hospitals Today - Winter 2018 - 5
Children's Hospitals Today - Winter 2018 - 6
Children's Hospitals Today - Winter 2018 - 7
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Children's Hospitals Today - Winter 2018 - 20
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Children's Hospitals Today - Winter 2018 - 32
Children's Hospitals Today - Winter 2018 - Cover3
Children's Hospitals Today - Winter 2018 - Cover4
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