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Pediatric Patients: Bridging the Readiness Gaps
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Michigan Children’s Hospital Leadership Collaborative Meets EMResource
• Who are we?
• Michigan Children’s Hospital Collaborative History
• What have we accomplished?
• What next?
• EMResource
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Who are we(for now)?
• Beaumont Children’s Hospital• Bronson Children’s Hospital• Children’s Hospital of Michigan• CS Mott Children’s Hospital• Helen DeVos Children’s Hospital• Hurley Children’s Hospital• Munson Medical Center• Sparrow Children’s
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Hospitals With Dedicated Pediatric Resources
• Children Hospitals• Large Regional Hospitals• Tertiary/Quaternary • Trauma center/resources• NICU/PICU• Pediatric ED/High Volume Pediatric ED
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How we got started?
In 2015, a dedicated group of Children’s Hospital and pediatric clinical leaders across Michigan collaborated to initiate weekly calls during high census pediatric “respiratory season”
CONFERENCE CALL
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Weekly Call Standard Work• Set day and time-Monday’s at 1245 pm• October through April/May• Calls initiated as needed
• Local surge, disasters, collegial questions, other collaborative interests
• Daily Check In format-brief, scripted report outs• Calls typically lasted less than five minutes• Information distributed by email after the call• Group included all stakeholders with limits considered
• Physician and nursing leadership-ED, PICU, Hospitalists, • Executive leadership-CMO/CNO/Med Directors etc.• Interested clinical leaders
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Weekly Call Standard Work• General Update(RSV, Flu etc.)• Open/closed ED• ED Volume trends• ED boarding• PICU beds open• ECMO availability• Floor beds available• Weather-Transport issues(Air and ground)• Other issues to share for the good of the group
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In addition to weekly call, leaders initiate prn calls
• Kalamazoo floods
• Recent fire at Bronson
• Polar Vortex
• Recent Measles Outbreak
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Inaugural Retreat in October 2016
https://www.northstarreach.org/about-us/overview/
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Inaugural Retreat in October 2016
• Hospitals with dedicated pediatric resources • Tertiary Children’s Hospitals • Increased pediatric capabilities and • Regional referral patterns
• Two or three key leaders at each site• Added other key stakeholders
• Nursing leadership, administrative leaders
• Establish a conference line
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Call triggers
• High census• Local surge/disasters• Limited staffing• Limited bed capacity• weather limitations etc.• General need for collaboration
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Future Development/Ideas
• Green/Yellow/Red quick assessment tool
• Epic/EHR, MI Health Connect
• Tele-health
• Participants will coordinate within their regions
• Future “pie in the sky” robust pediatric collaborative with real time capacity management
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