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Methods of Increasing Comprehensive and Efficient Patient Care: The Enhancement of a Pediatric Pulmonary Hypertension Program

Michelle Cash

Jean Giver

Russel Hirsch


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Conference: 2008 International PHA Conference and Scientific Sessions

Release Date: 06.20.2008

Presentation Type: Abstracts

Bagby M., Giver J., Hirsch R.

Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

BACKGROUNDInconsistencies in caring for patients through insufficient and disjointed medical care, delays in care plan changes, decision making and duplication of medical work can lead to poor quality patient care and negative outcomes. Given the close monitoring pulmonary hypertension patients require it remains critical for information to be available to the appropriate personnel in an accurate, timely and reliable fashion. As a result of inconsistencies in care and literature review, we have begun implementation of a pediatric health care delivery service where a health care team and sophisticated mechanisms coordinate care. The goal is to efficiently coordinate care and streamline the monitoring process to increase the quality of patient care and the provider’s work life and reduce medical errors.

METHODSOur program provides comprehensive, high quality patient care through interdisciplinary team collaboration, including the incorporation of a Nurse Practitioner (NP), use of information technology and professional networking. Cooperation among clinicians is a priority and thus helps to close the knowledge gap of patient care issues and promotes consistency in care and case management.  The NPs on the team serve not only as a liaison but as independent providers. Daily rounds encompass the exchange of ideas, including the progress of the patient, plan of care and provide education while including the patient and family. There is also consistency in reviewing serial tests and exams to closely monitor the patients. Utilizing electronic databases provides further comprehensive patient care and increases interdisciplinary collaboration. 

RESULTS: This model of care is customized to the patient and family. It evolves as needs are anticipated through the development of relationships and continuity in care. Quality patient centered care, optimal patient outcomes and patient and family satisfaction are results of the implementation of this program. By utilizing a NP within the program family access is increased because the NP can triage and intervene providing a rapid response and reducing wait time. The use of information technology such as, electronic prescribing and laboratory monitoring, has allowed mainstreaming of medical information, increase in efficiency and reduction of cost and errors while promoting standardization of care. Networking has expanded our patient care treatment options and allows opportunities of being on the forefront of research and new recommendations. This more efficient approach has mainstreamed treatment and increased family access and quality of care.

CONCLUSIONThis model facilitates comprehensive and collaborative pediatric medical care, maximizes total patient care, and ensures high quality health care.  It assists in timely treatment, informed decision making, efficient resource utilization, reduction of medical errors and increased staff satisfaction.