Identifying and Communicating Postdischarge Goals for Hospitalized Children With Medical Complexity: A Process Improvement Pilot in a Specialty Pediatric Setting

Megan M. Antolick, Wendy S. Looman, Rhonda G. Cady, Kari Kubiatowicz

Research output: Contribution to journalArticle

Abstract

Introduction: Family-centered communication at transitions of care can decrease readmissions and costs for children with medical complexity (CMC). The purpose of this quality improvement project was to improve the communication of postdischarge goals for CMC in a pediatric specialty setting. Methods: We used process improvement strategies to implement a Post-Hospitalization Action Grid (PHAG) and a standardized discharge handoff process. Families of hospitalized CMC at high risk for readmission received the pilot intervention over 3 months. Indicators of successful implementation included rates of use of the PHAG, perceptions of integrated care, and usability of the tool. Results: The PHAG was implemented with 11 of 40 eligible CMC families. Most staff agreed that the new process could improve the communication of postdischarge goals; however, perceptions of integrated care in the organization changed only minimally. Discussion: The PHAG facilitates family engagement in discharge transitions but requires organizational investment of resources to implement.

Original languageEnglish (US)
Pages (from-to)90-98
Number of pages9
JournalJournal of Pediatric Health Care
Volume34
Issue number2
DOIs
StatePublished - Mar 1 2020

Keywords

  • Children with medical complexity
  • family-centered care
  • goal-setting
  • postdischarge
  • transitions of care

PubMed: MeSH publication types

  • Journal Article

Fingerprint Dive into the research topics of 'Identifying and Communicating Postdischarge Goals for Hospitalized Children With Medical Complexity: A Process Improvement Pilot in a Specialty Pediatric Setting'. Together they form a unique fingerprint.

  • Cite this