CHOC Children’s Hospital honored with resuscitation recognition award

CHOC Children’s Hospital has received the Get With The Guidelines®-Resuscitation Silver Plus Award for implementing specific quality improvement measures outlined by the American Heart Association for the treatment of patients who suffer cardiac arrests in the hospital.

More than 200,000 adults and children have an in-hospital cardiac arrest each year, according to the American Heart Association. The Get With The Guidelines-Resuscitation program was developed with the goal to save lives of those who experience in-hospital cardiac arrests through consistently following the most up-to-date research-based guidelines for treatment. Guidelines include following protocols for patient safety, medical emergency team response, effective and timely resuscitation (CPR) and post-resuscitation care.

“This recognition is more evidence of CHOC Children’s steadfast commitment to the highest standards of patient care,” said Dr. Jason Cook, a pediatric critical care physician and medical leader of CHOC’s resuscitation activities. “We’re grateful to have the American Heart Association’s Get With The Guidelines-Resuscitation program as another resource in CHOC’s toolbelt to ensure the best possible outcomes for our patients.”

CHOC received the award for meeting specific measures in treating pediatric in-hospital cardiac arrest patients. To qualify for the awards, hospitals must comply with the quality measures for two or more consecutive years.

“CHOC is dedicated to helping our patients have the best possible outcomes and ensuring they have happy and healthy childhoods,” said Dr. James Cappon, CHOC’s chief quality officer. “Participating in the American Heart Association’s Get With The Guidelines-Resuscitation program helps us accomplish this by making it easier for our teams to put proven knowledge and guidelines to work on a daily basis.”

“We are pleased to recognize CHOC for their commitment in following these guidelines,” said Lee H. Schwamm, M.D., national chairperson of the Quality Oversight Committee and Executive Vice Chair of Neurology, Director of Acute Stroke Services, Massachusetts General Hospital, Boston, Massachusetts. “Shortening the time to effective resuscitation and maximizing post-resuscitation care is critical to patient survival.”

Get With The Guidelines-Resuscitation builds on the work of the American Heart Association’s National Registry of Cardiopulmonary Resuscitation originally launched in 1999 and has collected in-hospital cardiac arrest data from more than 500 hospitals. Data from the registry and the quality program give participating hospitals feedback on their resuscitation practice and patient outcomes. In addition, the data helps improve research-based guidelines for in-hospital resuscitation.

About Get With The Guidelines

Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with the latest research-based guidelines. Developed with the goal of saving lives and hastening recovery, Get With The Guidelines has touched the lives of more than 6 million patients since 2001. For more information, visit heart.org.

CHOC recognized as one of nation’s best children’s hospitals

CHOC Children’s is one of only 50 pediatric facilities in the nation to earn recognition as a best children’s hospital by U.S. News & World Report. The following CHOC specialties are honored in the 2019-20 Best Children’s Hospitals rankings: diabetes/endocrinology, cancer, neonatology, neurology/neurosurgery, pulmonology and urology. Cancer ranked in the “top 20.”

“The national recognition for CHOC’s cancer program is well-deserved. There’s nowhere else I’d rather have gone through treatment than CHOC,” says 17-year-old Sydney Sigafus, CHOC patient and cancer survivor. “Everyone who works at CHOC cares about you as a person, not just a patient. I was included in every decision and conversation about my care.”

The Best Children’s Hospitals rankings were introduced by U.S. News in 2007 to help families of children with rare or life-threatening diseases find the best medical care available. Only the nation’s top 50 pediatric facilities are distinguished in 10 pediatric specialties, based on survival rates, nurse staffing, procedure and patient volumes, reputation and additional outcomes data. The availability of clinical resources, infection rates and compliance with best practices are also factored into the rankings.

“We understand how scary it can be for parents whose children are dealing with life-threatening illnesses or injuries. That’s why we are committed to the highest standards of care, safety and service,” says Dr. James Cappon, CHOC’s chief quality officer. “While we are proud of our accolades, including being named a best children’s hospital, we remain focused on preserving the magic of childhood for all kids, whether they are seriously ill or healthy, or somewhere in between.”

More information about the Best Children’s Hospitals rankings can be found here.

CHOC’s Commitment to Quality and Safety: An Update from the Chief Quality and Patient Safety Officer

By Dr. James Cappon, CHOC Children’s Chief Quality and Patient Safety Officer

At CHOC Children’s, we’ve worked hard to build a culture of safety, quality and collaboration. We’re proud to have cultivated an environment that not only prioritizes safety, but also emphasizes sharing and openness so that we can all learn from best practices, as well as mistakes or near misses.

So, when a leading safety organizes recognizes CHOC’s commitment to quality, it’s icing on the cake. We are thrilled to be the first pediatric facility in the world to be named a five-star hospital by the Patient Safety Movement Foundation (PSMF).

Dr. James Cappon, CHOC Children’s chief quality and patient safety officer

To reach this achievement, we’ve made formal commitments to all PSMF Actionable Patient Safety Solutions (APSS) – processes designed to eliminate preventable deaths – that are relevant to pediatric care.

Our collaboration with PSMF reinforces the natural tendencies within pediatric care to collaborate broadly, share readily and move quickly in evidence-based ways to constantly learn, teach and make all efforts to avoid patient harm.

Checklists remain key

All of this translates into CHOC’s belief in using checklists. Checklists work, as other industries know well. The concept of the PSMF’s APSS work. In an increasingly complex world, we just need to do the simple, proven things that lead us to our desired outcomes. And our patients and families thank us for our attention to small detail, which reaps big benefit.

We are active partners in a number of regional, state and national networks of children’s providers, patient safety organizations and specialty areas of excellence such as nursing, trauma, extracorporeal life support, and patient and employee experience – all of whom have some compendium of best practice standards.

That’s a good catch

In addition to collaborating and sharing information with our outside partners, we’re doing the same within the walls of our own campus. To move the needle on safety and quality, we all need to be open to learning, course correcting, and sharing. Our “Good Catch” program at CHOC is a great example of that.

This effort is designed to encourage employees to keep their eyes open and speak up when they notice something that could have gone wrong – without fear of punishment or retaliation. Under the program, employees who report a near miss or close call that could have harmed a patient, family member, colleague or visitor are entered into a raffle for prizes each month.

One person who submits a Great Catch – a near miss that could have harmed someone and led to a significant process improvement effort – earns a bigger prize each month.

Investing in quality, safety

We know the small investments in incentives for this program will pay off in dividends when it comes to continuing to cultivate an open and honest dialog around safety and quality at CHOC.

We believe in the power of stories and the importance of individual events, not just rates. This helps us see the impact of single instance and is consistent with our patient- and family-centered model of care.

 

U.S. News Ranks CHOC Among Nation’s Best Children’s Hospitals

CHOC Children’s has once again been named one of the nation’s best children’s hospitals by U.S. News & World Report in its 2018-19 Best Children’s Hospitals rankings. CHOC ranked in six specialties: cancer, neonatology, neurology/neurosurgery, orthopedics, pulmonology and urology. Neonatology ranked in the “top 25,” list for its specialty, and urology in the “top 20.”

According to U.S. News, the Best Children’s Hospitals rankings were introduced in 2007 to help families of children with rare or life-threatening illnesses find the best medical care available. The rankings recognize the top 50 pediatric facilities across the United States in 10 pediatric specialties, from cancer to urology.

“This honor reflects CHOC Children’s steadfast commitment to the highest standards of patient care and safety,” says Dr. James Cappon, CHOC’s chief quality officer. “Recognition from U.S. News of our excellence in these subspecialties, including two on the top 25 lists, validates our efforts, but also provides our patients and families with even more assurance of our commitment to excelling in all areas of care.”

The U.S. News Best Children’s Hospitals rankings rely on clinical data and on an annual survey of pediatric specialists. The rankings’ methodology factors in patient outcomes, such as mortality, surgical success and infection rates, as well as available clinical resources and compliance with best practices.

“The U.S. News Best Children’s Hospitals highlight pediatric centers that deliver state-of-the-art medical care to children with complex conditions,” said Ben Harder, chief of health analysis at U.S. News. “Children with life-threatening or rare conditions need the level of quality care that these hospitals deliver day after day.”

Survival rates, adequacy of nurse staffing, procedure and patient volume, availability of programs for particular illnesses and conditions and more can be viewed at http://health.usnews.com/best-hospitals/pediatric-rankings.

CHOC Recognized for Use of Health Information Technology to Advance Safe, Quality Care

CHOC recently became the first children’s hospital on the West Coast-and only third in the nation- to receive the Enterprise Davies Award from the Healthcare Information and Management Systems Society (HIMSS). The honor recognizes CHOC for its design and use of health information technology to advance outstanding achievements in patient care.

In this podcast, Dr. William Feaster, chief medical information officer, and Dr. James Cappon, chief quality officer, highlight some of CHOC’s investments in health information technology and the impact these investments have had on patient safety. From an electronic medical record-enabled early warning system that has helped close to 400 children avoid resuscitation, with potentially as many lives saved, to breastmilk barcoding to eliminate feedings of the wrong breast milk, CHOC has experienced measurable improvements from its efforts.

Listen to learn how CHOC is making kids’ care better – kids’ lives better – through the use of technology.