Riley Asthma Quality Improvement
-
- STATUS
- Not Recruiting
Summary
Between 2009 and 2012, Riley Hospital for Children has seen a rise in 30 day readmission rates for asthma from 4% to over 8%. These rates are well above the national average for comparable children?s hospitals, which remain steady at approximately 3% through this time period. In addition, the rate of admission to the Intensive Care Unit at Riley Hospital for asthma is 40-50% of all asthma admissions, compared to 10-13% for similar children?s referral hospitals around the state. In light of these large departures from national averages, quality improvement projects have been initiated starting in 2012 to decrease 30 day readmission rates, including modification of how asthma education is delivered, shortening the time to followup appointments, and having discharge medications available prior to physically leaving the building. At the time of this submission, further efforts are underway to develop standardized protocols for treating asthmatic children in the emergency department and the ICU, to be more in line with practices at comparable institutions.
In order to determine the effectiveness of these interventions, both separately and in total, detailed data on patient encounters will be needed. Data collection would begin retrospectively starting in January 2007, to allow for 4 years of baseline data prior to the initiation of quality improvement interventions that began in 2012. Data will be examined retrospectively at the end of each quarter . Each patient?s records will be examined to determine whether he/she had an acute encounter (inpatient/observation/emergency) following discharge. Time frames that will be used include 7 day, 30 day, and 90 day readmissions to an acute encounter. Information regarding care given during the hospital admission (outlined below, including but not limited to medications given, protocols used, and asthma education delivery) and locations and timing of outpatient followup will also be collected. Since some quality improvement projects will be instituted in 2013 and 2014 also, the study period will continue through 2017 to determine whether any changes seen as a result of the quality improvement initiatives are sustained.
Description
Between 2009 and 2012, Riley Hospital for Children has seen a rise in 30 day readmission rates for asthma from 4% to over 8%. These rates are well above the national average for comparable children?s hospitals, which remain steady at approximately 3% through this time period. In addition, the rate of admission to the Intensive Care Unit at Riley Hospital for asthma is 40-50% of all asthma admissions, compared to 10-13% for similar children?s referral hospitals around the state. In light of these large departures from national averages, quality improvement projects have been initiated starting in 2012 to decrease 30 day readmission rates, including modification of how asthma education is delivered, shortening the time to followup appointments, and having discharge medications available prior to physically leaving the building. At the time of this submission, further efforts are underway to develop standardized protocols for treating asthmatic children in the emergency department and the ICU, to be more in line with practices at comparable institutions.
In order to determine the effectiveness of these interventions, both separately and in total, detailed data on patient encounters will be needed. Data collection would begin retrospectively starting in January 2007, to allow for 4 years of baseline data prior to the initiation of quality improvement interventions that began in 2012. Data will be examined retrospectively at the end of each quarter . Each patient?s records will be examined to determine whether he/she had an acute encounter (inpatient/observation/emergency) following discharge. Time frames that will be used include 7 day, 30 day, and 90 day readmissions to an acute encounter. Information regarding care given during the hospital admission (outlined below, including but not limited to medications given, protocols used, and asthma education delivery) and locations and timing of outpatient followup will also be collected. Since some quality improvement projects will be instituted in 2013 and 2014 also, the study period will continue through 2017 to determine whether any changes seen as a result of the quality improvement initiatives are sustained.
Details
| Condition | asthma |
|---|---|
| Age | 100years or below |
| Clinical Study Identifier | TX6823 |
| Last Modified on | 19 February 2024 |
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