Value in Inpatient Pediatrics Network

HEALTH SYSTEMS COLLABORATIVE #1:  Improving the Timeliness of Hospitalist-PCP Discharge Communication

Drs. Mark Shen and Julia Shelburne

AIM: Over the next 6 months, we will lead a quality improvement collaborative and achieve measureable improvement in the frequency AND timeliness of communication of patient information to the PCPs at discharge with the Goal of 90% of hospitalist discharges at each participating hospital will have documentation of communication with a PCP within 2 calendar days of actual discharge

Participants:
Lora Bergert: Kapi`olani Medical Center, Honolulu
Michael Bryant: USC Keck School of Medicine
David Cooperberg: St. Christopher’s, Philadelphia
Dan Coghlin: Hasbro Children’s, Providence
Leah Mallory: Barbara Bush Children’s Hospital at Maine Medical Center ,Portland
Beth Robbins: Anne Arundel Medical Center, Annapolis
Julia Shelburne: UT-Houston Medical School/Children’s Memorial Hermann Hospital
Mark Shen and Don Williams: Dell Children’s Medical Center, Austin
Ann Vanden Belt: St. Joseph Mercy Hospital, Ypsilanti, MI
Joyce Yang, Dan Hershey, and Erin Stucky: Rady Children’s Hospital, San Diego

Results:

From September, 2010 to April 2010, the Percent of discharges with documented communication with PCP within 2 calendar days of discharge increased from an average of 68% to 95%.

Change Package:

Obtain support of hospital leadership
Gather accurate contact information
Automate the process using IT solutions
Provide targeted and timely feedback to physicians
Create incentives for attending physicians