Pediatric Hospital Medicine 2012

The VIP Network's Transitions of Care Collaborative's Investigation of PMDs' and Hospitalists' Priorities for the Content of Discharge Communication (or What Happens When a Multi-Center QI Collaborative Performs Research)
Daniel Coghlin, David Cooperberg
At the conclusion of this session, participants will be able to:

  1. Identify PMDs' and hospitalists' priorities regarding the content of pediatric discharge communication.
  2. Learn about a bundle of best practices surrounding the transition of pediatric care from the inpatient to outpatient setting and the potential metrics to measure ongoing adherence to that bundle.
  3. Identify opportunities and barriers to multi-center Quality Improvement initiatives.
  4. Understand the regulatory incentives and disincentives surrounding transitions of care from the inpatient to outpatient setting

Regulatory incentives for discharge communication will be reviewed, as will the current literature about the impact of discharge communication on cost and care. Moving forward, there is a paucity of data about what pediatric PMDs actually want to hear about in the discharge communication they receive. Via the VIP Network's Transitions of Care Collaborative, 18 sites assessed PMDs' and hospitalists' priorities regarding the content of discharge communication and how reliably they receive this content. These qualitative and quantitative data will be presented, emphasizing the items deemed most essential by PMDs and the items with the most and least similarity between PMDs and hospitalists. Future plans for a guideline bundling best practices of pediatric transitions of care from the inpatient to outpatient setting will be outlined, as well as plans for ongoing measurement of adherence to this guideline. In addition, this collaborative's efforts to pursue clinical research from a QI background led to several valuable lessons learned.


 

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