Key Measures Connecticut Children’s Medical Center is dedicated to providing the highest quality care in the safest manner to our pediatric patients. We collaborate with healthcare professionals across the hospital on many quality and improvement projects that are leading to better outcomes for our patients and supporting our efforts in making Connecticut’s children the healthiest in the country. Asthma Length of Stay Asthma is the most common chronic disease in children and a major cause of morbidity. There are means to prevent attacks among children with asthma through use of relievers and corticosteroids and detailed home management plans of care. How we measure By implementing these standards we are improving the care for children with asthma across Connecticut and decreasing their length of stay (LOS) in the hospital. The data shows the decrease in length of stay for patients who are admitted into the hospital for treatment of asthma. This shows that we have improved the care and stabilized our patients so they are able to go home sooner. What we are doing to improve Our physicians, nurses and respiratory therapists understand the importance of following national standards; we collect and review this data monthly. Hospital Infections Some children need special procedures or devices that make them more likely to get an infection while in the hospital. When children get infections this may lead to a longer hospital stay or develop other health problems. How we measure We track the number of infections that children get in the hospital. The graphs below reflect the number of hospital-acquired infections and show that Connecticut Children’s rates are very low. This is the result of our efforts to control the incidence of hospital-acquired infections. Babies and children with fewer infections have better long-term outcomes and shorter lengths of stay. The graphs reflect the number of infections in the pediatric intensive care unit (PICU) and neonatal intensive care unit (NICU) per 1,000 line days. What we are doing to improve We teach our healthcare team how to keep children from getting infections in the hospital, with a focus on procedures and treatments where infections are most likely to occur. The data is shared with the staff across the hospital and serves as a reminder about the importance of following procedures that prevent the spread of infection. Patient & Family Satisfaction We ask patients and families to tell us about the care they received at Connecticut Children’s. This shows us how we’re doing and helps us make improvements. Our goal is for everyone to be happy with the care received at Connecticut Children’s. How we measure Patients and families are asked several different questions on the Press Ganey survey. One example is “Overall, how would you rate the nursing care you received during your stay?” The graph shows the mean response rate of nursing care patients and families received at Connecticut Children’s from 2008-2017. What we are doing to improve We want open, ongoing communication between patients, families and our staff. We want to know what they think and to share ideas for improving our care. Connecticut Children’s Family Advisory Board, made up of parents and hospital staff, talks about our care and things we can offer to make hospital and clinic visits easier for patients and families. We listen and learn from patient and family feedback, and make changes that will improve the services we provide. NICU Family Preparedness Infants who are cared for in the Neonatal Intensive Care Unit often have many special needs. It is important that families feel comfortable providing this specialized care before they go home. How we measure Our NICU healthcare professionals work closely with each family to address their concerns in an effort to prepare them for infant care at home. The NICU team also follows up directly with phone calls to many of the families. Families are asked several different questions on the Press Ganey survey, including one about feeling prepared at discharge. Hospital Mortality Rates Deaths are an unfortunate reality in every pediatric hospital. It is important to compare mortality rates by taking into account the severity of a patient’s illness. This is done using the standardized mortality ratio. How we measure A standardized mortality ratio is a tool for comparing mortality rates in a hospital relative to the degree of illness of the patients. A ratio greater than 1 indicates there are more deaths than expected based on their degree of illness. A ratio less than 1 shows there are fewer deaths than expected. The calculation of standardized mortality ratio uses a validated tool (PIM 2) to predict mortality for a group of patients. This prediction is then compared to the actual number of deaths. The data shows the standardized mortality rate for Connecticut Children’s as compared with other children’s hospitals around the country that are part of the PHIS reference group. Antibiotics Before Surgery Infections after surgery can cause pain, longer hospital stays and other problems. Giving antibiotics before some surgeries can help prevent infections. How we measure For surgeries where antibiotics should be given, the goal is to give them in the hour before surgery. We measure if antibiotics were given on time and if it was recorded in the patient’s medical record. The data shows the percent of times antibiotics were given within 60 minutes of surgery. What we are doing to improve Connecticut Children’s teaches its physicians and staff about the importance of giving antibiotics before certain surgeries to prevent infections. This information is collected and reported monthly to our medical staff.