What is the Pediatric Appendectomy Analytics Accelerator?

The Pediatric Appendectomy Analytics Accelerator supports a coordinated and evidence-based approach to assessment, care, and follow-up, helping drive and sustain improvement in clinical and financial outcomes. Typical implementations focus on appropriateness and timing of initial assessment and diagnosis, timing of treatment (antibiotic therapy, surgery), and postoperative care practices.

Organizations typically choose to focus on pediatric appendicitis for these reasons:

  • Significant morbidity and hospital cost. Appendicitis is the most common disease requiring urgent surgical treatment in the pediatric population, and in the U.S. accounts for more than a million hospital days annually.
  • Significant variation in care. Research has shown that the mean LOS for appendectomy procedures can vary significantly; this variation is tied to variation in care factors that impact morbidity.

Pediatric Appendectomy Benefits and Features

Access an at-a-glance, near real-time view of quality of care and its impact.

The application dashboard visualizes outcome and process metrics in an easy-to-consume, one-page summary.

Focus your team on what matters most.

Outcome metrics typically include morbidity, LOS, complications (e.g., surgical site infections (SSIs)), readmissions, and cost-per-case. Typical process metrics include adherence to assessment standards (e.g., imaging, severity documentation); timing of assessment, diagnosis, and surgery; appropriateness and timing of antibiotic therapy; and adherence to standard order set for postoperative care. The result? Your team understands the priorities and can help solve problems that stand in the way of improvement.

Start faster with meaningful, scalable clinical definitions.

The cohorts, definitions (e.g., simple or complex severity), and process measures that come with the accelerator are clinically relevant, standard, and meaningful across domains, ready for customization or adoption in your organization.

Do more than monitor: understand.

Detailed analytics of each bundle provide dynamic data exploration, real-time filtering, and drill-down to provider- and patient-level detail. The application also provides export or print capability for patient lists, metric performance, etc. so you can share and follow up.

Compare care within a cohort.

A Compare tab lets you review patient and care variables—demographics, variation in care, performance of different surgeons, etc.—to determine what’s working and not working to improve outcomes. This feature also allows you to gauge the ROI of improvement work in particular areas: what could you achieve if every provider standardized to match your best performance?

Pediatric Appendectomy Use Case

Referencing the Pediatric Appendicitis application, the Chief of Surgery notes an upward trend in LOS for appendicitis patients. What are the drivers? Working with clinical leaders in the ED and inpatient units, he uses the application to identify improvement opportunities in both their early assessment (imaging, time to diagnosis)—as well as in postoperative care (appropriate antibiotic use, advancing ambulation practices, discharge efficiency). After implementing education and communication with providers, the team uses the accelerator to track variation in care. After 9 months, the team is able to associate reduced practice variation with clear improvement in outcomes: lower LOS and readmissions.