Feasibility and use of a transition process planning and communication tool among multiple subspecialties within a pediatric health system

Author(s):  
Siddika S. Mulchan ◽  
Katherine Hinderer ◽  
Jennifer Walsh ◽  
Ashley McCool ◽  
Jamie Becker
2021 ◽  
pp. respcare.08944
Author(s):  
L Denise Willis ◽  
Austin Lovenstein ◽  
Beverly J Spray ◽  
Michele Honeycutt ◽  
Marlene Walden

Author(s):  
Brian P Jenssen ◽  
Chloe Hannan ◽  
Mary Kate Kelly ◽  
Thomas Ylioja ◽  
Robert A Schnoll ◽  
...  

2021 ◽  
Vol 8 ◽  
pp. 237437352110496
Author(s):  
Amanda Montalbano ◽  
Sheryl Chadwick ◽  
DeeJo Miller ◽  
Kathryn Taff ◽  
Evelyn Donis De Miranda ◽  
...  

Patient Family Advisory Councils (PFACs) are groups of patients, families, and clinical health system leaders collaborating to improve the quality, safety, and experience of care. Best practices encourage PFAC membership to reflect the diversity of the communities served. A cross-sectional survey was conducted from September 2019 to January 2020 collecting demographic characteristics of the members of a pediatric health system's 17 PFACs. Of the 93 respondents (71.5%), notable inequities were racial (4.8% adult PFAC members vs. 17.4% patients were Black) and financial (adult PFAC median annual income was >$100,000 compared to the community median $77,589). The governing family advisory board used this information to codesign interventions to achieve the ideal state of inclusive excellence by identifying barriers for participation for the Black community, recruiting and retaining diverse board members, and continuous monitoring to maintain a diverse board representation.


PEDIATRICS ◽  
2018 ◽  
Vol 142 (4) ◽  
pp. e20180601 ◽  
Author(s):  
Chethan Sarabu ◽  
Natalie Pageler ◽  
Fabienne Bourgeois

2019 ◽  
Vol 15 (2) ◽  
pp. 119-127
Author(s):  
Christopher M. Horvat, MD, MHA ◽  
Brian Martin, DMD ◽  
Liwen Wu, MS ◽  
Anthony Fabio, PhD ◽  
Phil E. Empey, PharmD, PhD ◽  
...  

Objective: Legitimate opioid prescriptions have been identified as a risk factor for opioid misuse in pediatric patients. In 2014, Pennsylvania legislation expanded a prescription drug monitoring program (PDMP) to curb inappropriate controlled substance prescriptions. The authors’ objective was to describe recent opioid prescribing trends at a large, pediatric health system situated in a region with one of the highest opioid-related death rates in the United States and examine the impact of the PDMP on prescribing trends.Design: Quasi-experimental assessment of trends of opioid e-prescriptions, from 2012 to 2017. Multivariable Poisson segmented regression examined the effect of the PDMP. Period prevalence comparison of opioid e-prescriptions across the care continuum in 2016.Results: There were 62,661 opioid e-prescriptions identified during the study period. Combination opioid/non-opioid prescriptions decreased, while oxycodone prescriptions increased. Seasonal variation was evident. Of 110,884 inpatient encounters, multivariable regression demonstrated lower odds of an opioid being prescribed at discharge per month of the study period (p 0.001) and a significant interaction between passage of the PDMP legislation and time (p = 0.03). Black patients had lower odds of receiving an opioid at discharge compared to white patients. Inpatients had significantly greater odds of receiving an opioid compared to emergency department (Prevalence Odds Ratio 7.1 [95% confidence interval: 6.9-7.3]; p 0.001) and outpatient (398.9 [355.5-447.5]; p 0.001) encounters.Conclusion: In a large pediatric health system, oxycodone has emerged as the most commonly prescribed opioid in recent years. Early evidence indicates that a state-run drug monitoring program is associated with reduced opioid prescribing. Additional study is necessary to examine the relationship between opioid prescriptions and race.


2021 ◽  
Vol 50 (1) ◽  
pp. 643-643
Author(s):  
Venessa Pinto ◽  
Kelli Irwin ◽  
Katherine Lemming ◽  
Jamie Causey ◽  
Jennifer Erklauer ◽  
...  

2001 ◽  
Vol 120 (5) ◽  
pp. A735-A735
Author(s):  
C STREETS ◽  
J PETERS ◽  
D BRUCE ◽  
P TSAI ◽  
N BALAJI ◽  
...  

2020 ◽  
Vol 158 (6) ◽  
pp. S-1460-S-1461
Author(s):  
Shoma Bommena ◽  
Nael Haddad ◽  
Sumit Agarwal ◽  
Sarabdeep Mann ◽  
Layth AL-Jashaami ◽  
...  

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