Pediatric Data Quality Systems (Pedi-QS) Collaborative
In 2001, NACHRI, the Child Healthcare Corporation of America and Medical Management Planning/BENCHmarking Effort for Networking Children’s Hospitals developed a framework and methodology to establish core measure sets for children’s health care quality – the Pediatric Data Quality Systems (Pedi-QS).
Using this framework, measures sets have been produced and subjected to a consensus process.
Children’s Inpatient Asthma Care Measures
Through the Pedi-QS collaborative, children's hospitals developed and submitted asthma care measures, which The Joint Commission instituted in April 2007 as the first pediatric measures for freestanding children's hospitals to meet accreditation requirements.
Use of Relievers for Inpatient Asthma (NQF-endorsed Voluntary Consensus Standard for Hospital Care)
Use of Systemic Corticosteroids for Inpatient Asthma (NQF-endorsed Voluntary Consensus Standard for Hospital Care)
Home Management Plan of Care Given to Patient/Caregiver
Through the NACHRI Performance Quality Measurement System (PQMS) participating children’s hospitals can submit required asthma core measures and non-core ORYX measures to the Joint Commission. Hospitals also can compare with other children's hospitals in order to help identify ways to improve asthma care.
Pediatric Critical Care Measures
A set of eight critical care measures was developed through the Pedi-QS collaborative, with the assistance of a multi-disciplinary expert panel and submitted to JCAHO in June, 2005. The collaborative is seeking opportunities to pilot test these measures as a prerequisite to national reporting.
In 2007, the Pedi-QS collaborative produced the Nursing-sensitive Indicators for Children’s Hospital Care Quality white paper (PDF), which outlines strengths and limitations of using nursing-sensitive quality indicators for public reporting and external comparison. It also recommends additional refinement and pilot testing of the indicators before they are used for public reporting and hospital performance comparisons. The paper does not comment on or diminish the usefulness of the indicators for the purposes of quality improvement.
This follows a two-year effort to solicit and assess nursing quality indicators used in children’s hospitals or identified by other organizations (e.g., National Quality Forum) and obtain comment on candidate indicators from almost 130 hospitals. This work was guided by an expert panel of nurse executives and researchers from 10 children’s hospitals, the Joint Commission and the American Nurses Association.
Schwallenstocker at 703/684-1355.