Pediatric Asthma

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Product Overview

The Pediatric Asthma Advanced Application is aimed at pediatric clinical directors, operational directors, clinical-program guidance teams, operational guidance teams and care management teams. The application focuses on providing data for a health care system’s pediatric asthma cohort. It provides the ability to analyze hospital care and processes to better manage pediatric asthma patients and identify areas of inefficiency and waste.

Features

  • Acute Measures Dashboard: Shows ED delivery time of beta agonists, percentage of patients discharged from the ED and those admitted, patients who received and asthma action plan and ED readmissions.
  • Steroid Administration Dashboard: Shows the timeliness of steroid administration in the ED.
  • Triage Beta-Agonist Administration Dashboard: Shows triage times for administration of beta-agonists.
  • Asthma CXR Dashboard: Shows number of admitted patients who had CXRs, cost per case, timing of CXR, and asthma protocol adherence.
  • Readmission Dashboard: Provides data about ED and hospital readmissions

Data Sources

  • EMR
  • Patient Satisfaction
  • Billing Data

Pediatric Asthma: A Deeper View

Background

Pediatric asthma is a costly, chronic condition and a major reason for pediatric hospital admission. Currently The Joint Commission requires freestanding children’s hospitals to report on key quality measures associated with best clinical practice. Additionally, the AHRQ suggests that there are significant opportunities for cost improvements related to inefficiency and waste in this area of care.

What types of problems does Pediatric Asthma address?

To pursue opportunities to improve care, outcomes, and cost for pediatric asthma, organizations can benefit from analytics that provide views of key metrics associated with clinical best practice and high-level performance measures. It’s also helpful to have data views that reveal waste and inefficiencies in care processes, operations, and administrative services—these can be productively targeted by improvement initiatives.

Use Cases

  • A hospital case management team notes the disparity of action plans being provided to pediatric asthma patients in the ED.
  • A hospital’s executive team identifies the need to lower the rate of pediatric asthma inpatient admissions.
  • A hospital system wants to improve the door to beta-agonist administration time in pediatric ED asthma patients.
  • A pediatric hospital is interested in decreasing cost per case in their inpatient pediatric asthma population.

Anticipated Improvements

  1. Fewer unnecessary CXRs in pediatric asthma patients.
  2. Reduced cost for an ED asthma admission.
  3. Fewer ED and inpatient asthma admissions.
  4. Improved adoption of pediatric asthma order set
  5. Increased physician use of an EHR-based asthma action plan

Success Measures Example

There are 3 types of success measures:

Opportunity Identification:

  • Potential $ saved from reduction in clinical variation and standardization of care.

Process Improvements:

  • Evaluate and change documentation processes; define and implement a pediatric asthma order set; increased provision of asthma action plans to patients.

Outcomes Improvement:

  • Reduce ED and inpatient admissions; decrease readmission; improve LOS; reduce cost per case; improve patient satisfaction; reduce number of CXRs performed on pediatric asthma patients.

Benefits

Benefits Include:

  • Fewer unnecessary CXRs in pediatric asthma patients.
  • Reduced cost for an ED asthma admission.
  • Fewer ED and inpatient asthma admissions.
  • Improved adoption of pediatric asthma order set
  • Increased physician use of an EHR-based asthma action plan

Measures

Available Measures Include:

  • Volume (Complex, Simple, Other)
  • Cost (Complex, Simple, Other)
  • Readmission Rate (Complex, Simple, Other)
  • Length of Stay (Complex, Simple, Other)
  • Severity
  • Post Op LOS Days by Severity
  • Post Op LOS Days by Campus
  • Surgery to Discharge
  • Presentation to Diagnosis
  • Presentation to Surgery Start
  • Presentation to 1st level Antibiotic
  • Diagnosis to First Medication
  • Diagnosis to Surgery Start
  • Time from ED triage to delivery of beta-agonist
  • Proportion of patient discharged with asthma exacerbation/status asthmaticus with a CXR obtained
  • Rate of Inpatient and Observation patient accounts who received an Asthma Action Plan
  • Rate of readmission to the ED and Hospital