Quality of Care - Children
How We Measure Quality of Care
At Kentucky Children's Hospital our focus is to provide the very best care to every patient, every time.
Certain measures help us to compare our performance with that of other similar hospital systems nationwide, enabling us to see how we’re doing and how we might improve. Looking at readmissions, for instance, helps us evaluate whether the patients received the best possible care while in the hospital and whether they got good, clear instructions on how to care for themselves once they went home.
Not all medical care can be standardized or quantified, but in those cases where it can, tracking our performance helps us to evaluate and improve the care we provide overall. Our core measures program helps us know whether we are doing the right thing every time.
Core measures are a set of evidence-based, scientifically researched processes or standards of care that are designed to improve outcomes for patients. Hospitals nationwide use these same core measures, which were established by the Center for Medicare & Medicaid Services (CMS) in 2000. Our goal is to provide this “best practice” care to all of our patients and to make sure it is documented accurately. By tracking our performance on these measures we can see how well we’re doing and identify areas that might need improvement.
Asthma is the most common chronic disease in children, resulting in more than 200,000 hospital admissions in the United States every year. It is also a leading cause of pediatric death.
While every patient is unique, doctors now realize that certain established protocols can benefit most asthma patients. One way to evaluate the quality of care we provide our patients with asthma is to track the percentage of those eligible who receive these standard treatments. Our goal is to provide all applicable treatments 100 percent of the time.
The charts below show the percentage of eligible patients who received the particular treatment.
Use of Relievers for Inpatient Asthma (CAC1A)
An asthma reliever is a drug that provides relief from asthma symptoms. This chart shows the overall percentage of pediatric asthma patients who received relievers during hospitalization.
Use of Systemic Corticosteroids for Inpatient Asthma (CAC2A)
Systemic corticosteroid are medications used to reduce airway inflammation and control moderate to severe asthma symptoms.
This chart shows the percentage of pediatric asthma patients who received systemic corticosteroids while in the hospital.
Inpatient Asthma Patients Home Management Plan of Care Given to Patient/Caregiver (CAC3)
This indicator reports the percentage of pediatric asthma patients and/or their caregivers who were given a written Home Management Plan of Care document (HMPC). This plan provides written instructions for the patient’s ongoing care, including:
- Arrangements for follow-up care.
- Control of asthma triggers in the patient’s surroundings.
- The method and timing of rescue actions if they are necessary.
- The name, dose, frequency and method of administration of prescribed controller medications.
- Name, dose, frequency, method of administration, and method of adjusting the dose and/or frequency of any prescribed reliever medications based on severity of symptoms.