Sarah A Sobotka1, Lindsey P Hird-McCorry2, Denise M Goodman3. 1. Department of Pediatrics, University of Chicago, Chicago, Illinois; ssobotka@peds.bsd.uchicago.edu. 2. Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; and. 3. Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Abstract
BACKGROUND AND OBJECTIVES: The core mission of the Pulmonary Habilitation Program is to train and prepare caregivers for the care of a ventilated child in the home. It exists within a free-standing children's hospital. The program is supported by a multidisciplinary staff and serves ∼100 children. Through standardizing electronic documentation with process-specific tracking for the discharge process, the Pulmonary Habilitation Program team sought to identify intervention opportunities for more efficient and effective discharges. METHODS: The process of discharge was described using an iterative process, with the multidisciplinary team and discharge milestones noted in the medical chart. RESULTS: Several nonmedical factors contribute to prolonged hospital stays, including parent training, approval from the state agency for home care, and staffing of home nursing. Children had median lengths of stay of 141 days (interquartile range, 68 to 177). CONCLUSIONS: As a result of this initial investigation, application to the state agency and training for caregivers have been initiated sooner, when a tracheostomy is first placed.
BACKGROUND AND OBJECTIVES: The core mission of the Pulmonary Habilitation Program is to train and prepare caregivers for the care of a ventilated child in the home. It exists within a free-standing children's hospital. The program is supported by a multidisciplinary staff and serves ∼100 children. Through standardizing electronic documentation with process-specific tracking for the discharge process, the Pulmonary Habilitation Program team sought to identify intervention opportunities for more efficient and effective discharges. METHODS: The process of discharge was described using an iterative process, with the multidisciplinary team and discharge milestones noted in the medical chart. RESULTS: Several nonmedical factors contribute to prolonged hospital stays, including parent training, approval from the state agency for home care, and staffing of home nursing. Children had median lengths of stay of 141 days (interquartile range, 68 to 177). CONCLUSIONS: As a result of this initial investigation, application to the state agency and training for caregivers have been initiated sooner, when a tracheostomy is first placed.
Authors: Jasneek Chawla; Elizabeth A Edwards; Amanda L Griffiths; Gillian M Nixon; Sadasivam Suresh; Jacob Twiss; Moya Vandeleur; Karen A Waters; Andrew C Wilson; Susan Wilson; Andrew Tai Journal: Respirology Date: 2021-08-13 Impact factor: 6.175
Authors: Laura G Amar-Dolan; Mary H Horn; Brianna O'Connell; Susan K Parsons; Christopher J Roussin; Peter H Weinstock; Robert J Graham Journal: Ann Am Thorac Soc Date: 2020-07
Authors: Sushmita Yallapragada; Rashmin C Savani; Sara Mūnoz-Blanco; Joanne M Lagatta; William E Truog; Nicolas F M Porta; Leif D Nelin; Huayan Zhang; Shilpa Vyas-Read; Robert DiGeronimo; Girija Natarajan; Erica Wymore; Beth Haberman; Joana Machry; Karin Potoka; Karna Murthy Journal: J Perinatol Date: 2021-08-04 Impact factor: 2.521