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Children's Mercy

Children’s Mercy receives ANCC 2016 Magnet Prize® sponsored by Cerner for its life-saving home monitoring program

Children’s Mercy successfully reduced interstage mortality from 20 percent to 0 for high-risk, single ventricle (SV) infants with the help of its innovative CHAMP (Cardiac High Acuity Monitoring Program).

CHAMP combines traditional SV home monitoring with a tablet PC, so SV nurse coordinators can receive actionable data and video evaluation from parents during vulnerable SV infants’ interstage period.

Nationally, five to 20 percent of infants with SV heart disease, such as Hypoplastic Left Heart Syndrome, will not survive the time period between the first and second surgeries, known as the interstage, according to data from the National Pediatric Cardiology Quality Improvement Collaborative (NPCQIC).

The program uses an innovative application to connect with the Children’s Mercy electronic health record (EHR). This capability reduces delays of critical information, opening up communication and providing at-home support to parents during a critical time of need.

CHAMP is built with an encrypted cloud database, which allows data entered by the parent to be sent to the EMR daily.” Lori Erickson, RN, CPNP, APRN, high acuity monitoring APRN at the Ward Family Heart Center. “Timely communication of physiologic data from parents of fragile, cardiac infants to the Interstage team is a next step in home monitoring.”

This proactive care model empowers the Children’s Mercy clinical nurses and nurse coordinators to intervene earlier, drastically improving the mortality and morbidity rates of a high-risk population of infants.

Since May 2014, interstage mortality decreased from 20 percent to 0 at the Children’s Mercy pilot center. All 62 SV infants monitored with CHAMP survived.

“The first time I heard a child’s life had been saved with CHAMP, I left the room because I needed to tear up in private. It’s was a dream that I’ve had for a long time,” said Girish S. Shirali, MBBS, FACC, FASE, division director, cardiology in a video highlighting the app.

Additionally, the comprehensive pediatric medical center located in Kansas City, Missouri, was presented with the American Nurses Credentialing Center (ANCC) 2016 Magnet Prize® for CHAMP. The prize, sponsored by Cerner for the last nine years, recognizes innovative nursing programs and practices in ANCC Magnet®-designated organizations.

“We are honored to receive the prestigious Magnet Prize and are very excited that the CHAMP program is being recognized for its innovative use of technology to achieve excellent patient care outcomes,” said Cheri Hunt, MHA, BSN, RN, NEA-BC, senior vice president for Patient Care Services and chief nursing officer, Children’s Mercy.

CHAMP uses a replicable algorithm, which can be used by other organizations to develop and implement their own program for SV cardiac disease patients, as well as other ambulatory patients that require close monitoring.

Currently, 55 US sites — representing 80 percent of all centers that perform SV heart surgery on infants — and eight international sites have expressed verbal and online preliminary interest in using CHAMP. CHAMP has successfully been deployed at an additional US children’s hospital since January 2016.

Magnet® and The Magnet Prize® names and logos are registered trademarks of the American Nurses Credentialing Center (ANCC).

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Client outcomes were achieved in respective settings and are not representative of benefits realized by all clients due to many variables, including solution scope, client capabilities and business and implementation models.