A new framework for quality partnerships in Children's Hospitals.

Abstract:

:Children's hospitals and their affiliated departments of pediatrics often pursue separate programs in quality and safety; by integrating these programs, they can accelerate progress. Hospital executives and pediatric department chairs from 14 children's hospitals have been exploring practical approaches for integrating quality programs. Three components provide focus: (1) alignment of quality priorities and resources across the organizations; (2) education and training for physicians in the science of improvement; and (3) professional development and career progression for physicians in recognition of quality-improvement activities. Process and resource requirements are identified for each component, and specific, actionable steps are identified. The action steps are arrayed on a continuum from basic to advanced integration. The resulting matrix serves as an "integration framework," useful to a hospital and its pediatric academic department at any stage of integration for assessing its current state, plotting a path toward further integration, tracking its progress, and identifying potential collaborators and models of advanced integration. The framework contributes to health care's quality-improvement movement in multiple ways: it addresses a basic impediment to quality and safety improvement; it is an implementable model for integrating quality programs; it offers career-advancement potential for physicians interested in quality; it helps optimize investments in quality and safety; and it can be applied both within a single children's hospital and across multiple children's hospitals. Widespread adoption of the integration framework could have a transformative effect on the children's hospital sector, not the least of which is improved quality and safety on a large scale.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Levy FH,Brilli RJ,First LR,Hyman D,Kohrt AE,Ludwig S,Miles PV,Saffer M

doi

10.1542/peds.2010-1409

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

1147-56

issue

6

eissn

0031-4005

issn

1098-4275

pii

peds.2010-1409

journal_volume

127

pub_type

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