We get it. Children are not just little adults.
Humpty Dumpty sat on a wall, but Humpty Dumpty did not have a great fall, if he was admitted to Nicklaus Children's Hospital. Nicklaus Children's, part of Miami Children's Health System, reduced its falls rate by 41% with the help of its cleverly titled and globally acclaimed Humpty Dumpty Falls Prevention Program. Both the Joint Commission and the Institute of Medicine identifies inpatient falls as a significant patient safety risk, and have required organizations to have a fall reduction program with interventions in place. Children's growth and development, coupled with natural curiosity, makes them exceptionally prone to falls during a hospital stay, but at the time many published falls protocols were geared towards the adult population. In response to this void in pediatric safety, Nicklaus Children's began developing the first program of its kind to specifically address the unique falls prevention needs of children. In 2006, the hospital gathered all ancillary departments, including physical therapists, nutritionists, to develop age-appropriate parameters for its young patients. This evidence-based initiative enhanced the overall safety culture at Nicklaus Children's and enabled nurses to demonstrate positive outcomes.
In a productivity survey, Children’s Hospital Los Angeles documents 90 to 105 percent nursing productivity while reducing overtime hours after implementing Cerner Clairvia to support staffing and acuity monitoring. Nurse managers at Children’s Hospital Los Angeles (CHLA) are optimizing their approach to RN staffing by using Cerner Clairvia℠ to implement creative staffing techniques and make equitable patient assignments. Cerner Clairvia helps hospitals calculate a patient’s acuity, or the care hours needed to move a patient towards wellness, based on information captured in the EHR. Accounting for the different level of care needs for each patient supports the organization in distributing fair and manageable workloads to members of the nursing team. After implementing Cerner Clairvia, CHLA studied its impact on nursing productivity and reports positive results. “We are able to pull productivity reports for all units that showed everybody was between 90 and 105 percent productivity. We could show where we flexed, where people floated to another unit and where we called people off,” said CHLA’s Nancy Blake, RN, PhD, CCRN, NEA-BC, FAAN, CHLA’s patient care services director in Critical Care Services.
Sometimes it pays to be ambitious. Two national healthcare organizations have recognized Children's National Health System in Washington, D.C. for developing and deploying transformational information technology that improves and streamlines care. Brian Jacobs, MD, chief medical information officer and chief information officer (CIO), accepted the award at the CHIME Fall 2015 CIO Forum on Oct. 16 in Orlando, Fla. The College of Healthcare Information Management Executives (CHIME) and the American Hospital Association (AHA) sponsor the Transformational Leadership Award, which is given annually to the winning organization's CIO and CEO. In large part, this year's award recognizes the work of the Bear Institute, a seven-year collaboration between Children's National and Cerner. Dr. Jacobs is the principal architect and guiding force behind the institute, one of the first pediatric organizations in the nation to focus on informatics. "We have big ambitions," said Dr. Jacobs, who is also a vice president at Children's National. Much of the first two years of the Bear Institute focused on completing the conversion of paper-based essential health data to digital data, thus ensuring that this important information is available for everyone's use. "But really the fun starts after that,” Dr. Jacobs said, "when you start to look for opportunities to improve."
If you ask kids today about their favorite “transformer,” the responses would probably be along the lines of “Optimus Prime” or “Bumblebee” – heroes of the toy aisle and movie franchise. The patients at Children’s Hospital of Orange County (CHOC Children’s), however, are cared for by real-life heroes: the physicians and nurses who are transforming pediatric health care. Many of the unsung heroes develop and maintain CHOC’s Electronic Medical Record (EMR). In early January, the California-based health system achieved the Health Information and Management Systems Society (HIMSS) Acute Stage 7 Award. The award distinguishes the highest level on the Electronic Medical Records Adoption ModelSM (EMRAM), which is used to track EMR progress at hospitals and health systems. "Earning Stage 7 recognition from HIMSS Analytics acknowledges the dedication of our hospital, our staff and our physicians to providing the safest and highest quality care to the children we serve," said Mark Headland, CHOC’s vice president and chief information officer to HIT Consultant. "Eliminating errors and significantly reducing serious harm,” he continued, “are virtually impossible without a good technology foundation." CHOC became a Cerner client 13 years ago, and now has its solutions in the hospital and its primary and specialty care centers. Like our favorite AutoBots, CHOC is saving lives; though the heroics come from clinicians, and the safety features from the EMR.
The Children's Hospital of Georgia (CHOG) at Augusta University is using Cerner technology to ensure babies in the organization’s neonatal intensive care unit (NICU) receive the correct nourishment by automating the management of both mother's milk and formula.
Since the Augusta, Ga., organization implemented Cerner’s Human Milk and Formula Management solution in December 2015, CHOG has achieved 100 percent accuracy in the management of mother's milk.
"Using the solution, the NICU is able to confirm that the right baby gets the right breast milk at the right time, every time," said Ruth Wilson, nurse manager at CHOG. "Families can find comfort that their baby is getting the proper nourishment even in a difficult situation."
In addition, between December 2015 and June 2016, nurses steadily reduced instances when milk had expired by 63 percent and instances when milk was not properly matched with the right baby by 25 percent.
Chief Nursing Officer Laura Brower, MSN, RN, said the solution is part of a larger effort to update nursing-oriented solutions at the 154-bed facility.
“We’re catching nursing up to the 21st century,” she said. “It’s exciting.”