Sparrow Regional Childrens Center Performance Improvement

1
Sparrow Regional Childrens Center Performance
Improvement
2
Average Length of Stay (LOS)0-30 day age group
3
Average LOS1 month 23 month age group
4
Average LOS2 yr 17 yr age group
5
Medical LOSPediatric Hospitalist compared to
Non-hospitalist patients (2007)
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Mortality0 30 day age group
7
Mortality1 month 23 month age group
8
Mortality2 yr 17 yr age group
9
Pediatric Asthma Treatment Center Length of Stay
10
Pediatric Asthma Treatment CenterAction Plans
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Pediatric Asthma Treatment CenterAsthma Education
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Pediatric AsthmaFinancial
720,000
520,000
320,000
120,000
(80,000)
2000
2001
2002
2003
2004
TOTAL
109,562
125,469
122,695
141,344
137,898
645,007
Program
(5,888)
(7,238)
(6,975)
(8,400)
(9,488)
(37,988)
Historical
682,995
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Bronchiolitis Length of Stay
14
Bronchiolitis Aerosol Treatments
15
BronchiolitisPercussion and postural drainage
16
Bronchiolitis - Financial
529,490
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Central Line Infections (/1000 line days)
18
Hand Hygiene ( compliance)
100
90
80
Keystone
70
Hospital
60
50
PICU
40
Pediatrics
30
Pediatric ED
20
10
0
1st Qtr
2nd Qtr
3rd Qtr
4th Qtr
1st Qtr
2008
08
08
08
2009
19
Medication Occurrences Yearly (per 100
admissions)
20
Medication Occurrences Quarterly(per 100
admissions)
21
Serious Safety Events(Level 7, 8, 9 occurrences)
22
Falls (total number)
23
Falls (/1000 patient days)
24
Patient Satisfaction (percentile rank)
25
Sparrow Hospital Patient Satisfaction
Pediatrics1st Quarter 2008 1st Quarter 2009 QTD
Combined Peds/PICU
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Sparrow Hospital Patient Satisfaction
Pediatrics1st Quarter 2008 1st Quarter 2009 QTD
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Performance Improvement Initiatives Based on M
M review, RCA, and Reactive Surveillance

• Intraoperative Hypertension/ Vasoconstrictor
  Protocol
• Potassium overdoses Potassium tip sheet, stan
  conc
• Narcotic Overdoses Opioid Policy
• Massive Transfusion Protocol
• Code Team Revision
• Rapid Response Team
• Standardized Drips vasoactive, sedation,
  analgesia, NMB
• Sedation Policy
• Isoflurane for Status Asthmaticus
• Antibiotic impregnated central lines
• Hypertensive Crisis Protocol
• Isolation revisions
• Status Epilepticus Protocol

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Recent/Current Performance Improvement projects

• Unplanned/accidental extubations
• Urine specimen collection
• Readmissions of children with Hyperbilirubinemia
• Safe Sleep Practice
• Admission process to pediatrics
• PICU Transport