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Collective quality improvement in the paediatric cardiology acute care unit: establishment of the Pediatric Acute Care Cardiology Collaborative (PAC3)

Published online by Cambridge University Press:  28 June 2018

Alaina K. Kipps ,
Steven C. Cassidy ,
Courtney M. Strohacker ,
Margaret Graupe ,
Katherine E. Bates ,
Mary C. McLellan ,
Ashraf S. Harahsheh ,
Samuel P. Hanke ,
Ronn E. Tanel  and
Susan K. Schachtner
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Alaina K. Kipps*
Affiliation:
Department of Pediatrics, Lucile Packard Children’s Hospital at Stanford, Stanford University School of Medicine, Palo Alto, CA, USA
Steven C. Cassidy
Affiliation:
Department of Pediatrics, Nationwide Children’s Hospital, The Ohio State University College of Medicine, Columbus, OH, USA
Courtney M. Strohacker
Affiliation:
Department of Pediatrics, C.S. Mott Children’s Hospital, University of Michigan School of Medicine, Ann Arbor, MI, USA
Margaret Graupe
Affiliation:
Department of Pediatrics,Cincinnati Children’s Hospital Medical Center, University of Cincinnati School of Medicine, Cincinnati, OH, USA
Katherine E. Bates
Affiliation:
Department of Pediatrics, C.S. Mott Children’s Hospital, University of Michigan School of Medicine, Ann Arbor, MI, USA
Mary C. McLellan
Affiliation:
Heart Center, Boston Children’s Hospital, Boston, MA, USA
Ashraf S. Harahsheh
Affiliation:
Department of Pediatrics,Children’s National Health System, George Washington University, Washington, DC, USA
Samuel P. Hanke
Affiliation:
Department of Pediatrics,Cincinnati Children’s Hospital Medical Center, University of Cincinnati School of Medicine, Cincinnati, OH, USA
Ronn E. Tanel
Affiliation:
Department of Pediatrics,UCSF Benioff Children’s Hospital, University of California, San Francisco, CA, USA
Susan K. Schachtner
Affiliation:
Department of Pediatrics,Children’s Hospital of Philadelphia, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA
Michael Gaies
Affiliation:
Department of Pediatrics, C.S. Mott Children’s Hospital, University of Michigan School of Medicine, Ann Arbor, MI, USA
Nicolas Madsen
Affiliation:
Department of Pediatrics,Cincinnati Children’s Hospital Medical Center, University of Cincinnati School of Medicine, Cincinnati, OH, USA
*
Author for correspondence: A. K. Kipps, MD, MS, Clinical Assistant Professor of Pediatrics, Stanford School of Medicine, Division of Pediatric Cardiology, 750 Welch Road, Suite 325, Palo Alto, CA 94304, USA. Tel: +650 498 2699; Fax: +650 725 8343; E-mail: akipps@stanford.edu
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Abstract

Collaborative quality improvement and learning networks have amended healthcare quality and value across specialities. Motivated by these successes, the Pediatric Acute Care Cardiology Collaborative (PAC3) was founded in late 2014 with an emphasis on improving outcomes of paediatric cardiology patients within cardiac acute care units; acute care encompasses all hospital-based inpatient non-intensive care. PAC3 aims to deliver higher quality and greater value care by facilitating the sharing of ideas and building alignment among its member institutions. These aims are intentionally aligned with the work of other national clinical collaborations, registries, and parent advocacy organisations. The mission and early work of PAC3 is exemplified by the formal partnership with the Pediatric Cardiac Critical Care Consortium (PC4), as well as the creation of a clinical registry, which links with the PC4 registry to track practices and outcomes across the entire inpatient encounter from admission to discharge. Capturing the full inpatient experience allows detection of outcome differences related to variation in care delivered outside the cardiac ICU and development of benchmarks for cardiac acute care. We aspire to improve patient outcomes such as morbidity, hospital length of stay, and re-admission rates, while working to advance patient and family satisfaction. We will use quality improvement methodologies consistent with the Model for Improvement to achieve these aims. Membership currently includes 36 centres across North America, out of which 26 are also members of PC4. In this report, we describe the development of PAC3, including the philosophical, organisational, and infrastructural elements that will enable a paediatric acute care cardiology learning network.

Keywords

Paediatric cardiologyacute care medicinequality improvementlearning network
Type
Original Article
Information
Cardiology in the Young , Volume 28 , Issue 8 , August 2018 , pp. 1019 - 1023
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Copyright
© Cambridge University Press 2018 

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Footnotes

Cite this article: Kipps AK, Cassidy SC, Strohacker CM, Graupe M, Bates KE, McLellan MC, Harahsheh AS, Hanke SP, Tanel RE, Schachtner SK, Gaies M, Madsen N. (2018) Collective quality improvement in the paediatric cardiology acute care unit: establishment of the Pediatric Acute Care Cardiology Collaborative (PAC3). Cardiology in the Young28: 1019–1023. doi: 10.1017/S1047951118000811

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