Sustaining compliance with pediatric asthma inpatient quality measures

Flory L. Nkoy, Bernhard A. Fassl, Doug Wolfe, Dayvalena Colling, Joseph W. Hales, Christopher G Maloney

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

To reduce readmission risk in children hospitalized with asthma, The Joint Commission (JC) mandated hospitals to initiate preventive measures and provide patients/caregivers with a home management plan of care (HMPC) at discharge. Standard methods for recording HMPC compliance require hospitals to commit considerable resources. We developed an asthma-specific "reminder and decision support" (RADS) system to facilitate patient discharge while supporting many clinical and administrative needs, including: 1) providers' compliance with asthma preventive measures, 2) creation of patient's discharge instructions, 3) recording HMPC components for JC accreditation, and 4) creation of discharge summaries with auto-faxing mechanism to primary care providers for follow-up. RADS resulted in significant increased and sustained HMPC compliance (73% vs. 89%, p<0.01) and reduced labor time (53 vs. 15 hours/week, p=0.02) compared to standard methods. Most quality improvement interventions achieve short-term goals, but long-term improvements require decision support tools that support multiple needs while minimizing resource use.

Original languageEnglish (US)
Pages (from-to)547-551
Number of pages5
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
Volume2010
StatePublished - Jan 1 2010
Externally publishedYes

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Inpatients
Asthma
Patient Discharge
Pediatrics
Compliance
Joints
Hospitalized Child
Accreditation
Quality Improvement
Caregivers
Primary Health Care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sustaining compliance with pediatric asthma inpatient quality measures. / Nkoy, Flory L.; Fassl, Bernhard A.; Wolfe, Doug; Colling, Dayvalena; Hales, Joseph W.; Maloney, Christopher G.

In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, Vol. 2010, 01.01.2010, p. 547-551.

Research output: Contribution to journalArticle

Nkoy, Flory L. ; Fassl, Bernhard A. ; Wolfe, Doug ; Colling, Dayvalena ; Hales, Joseph W. ; Maloney, Christopher G. / Sustaining compliance with pediatric asthma inpatient quality measures. In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium. 2010 ; Vol. 2010. pp. 547-551.
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