Connected Thinking Blog - NACHRI Conferences

Member Engagement Is its Own Reward - Prize Winners

These exciting prizes have already been claimed by NACHRI members who attended the NACHRI 2011 Creating Connections Conference. They qualified for one of several prize drawing by simply by taking the time to speak to an exhibitor or make their hotel reservations within the conference room block before the hotel reservation cutoff date. The winners are:

Visa Gift Card Winners
($100 Value)
Heather Schaewe, MSN, RN, CPN
Children's Hospital of Michigan
Detroit, MI

($200 Value)
Angela Carter, RN, BSN
Monroe Carell Jr. Children's Hospital at Vanderbilt
Nashville, TN

Barnes and Noble Nook Winners
Gabriela Teodorescu, RN
Baptist Children's Hospital
Miami, FL

Erin Felkel, BSN, RN, CPON
Miller Children's Hospital
Long Beach, CA

Amazon Kindel Winner
Katherine Lusk, MHSM, RHIA
Children's Medical Center Dallas
Dallas, TX

Apple iPad2 Winner
Michael Buncher, MBA, MSPH
Cincinnati Children's Hospital Medical Center
Cincinnati, OH

Apple iPod Touch Winner
Salathia A. Davis, RN, BSN
Carolinas Medical Center NorthEast
Concord, NC

One Complimentary Room Night at the Conference Hotel
Guy Giesecke
Blair E. Batson Hospital for Children University of Mississippi Medical Center
Jackson, MS

A Complimentary Suite Upgrade
Karen Wish
NewYork-Presbyterian Morgan Stanley Children's Hospital
New York, NY

A Baltimore Gift Basket ($100 Value)
Sara Burnett
Le Bonheur Children's Hospital
Memphis, TN

Complimentary Dinner for Two at The Baltimore Marriott Waterfront Grille 700
Steven P. Shelov, MD, MS
Steven and Alexandra Cohen Children's Medical Center of New York
New Hyde Park, NY

Overall Top Poster Winner

 

Medicus (Please Don't) Interrupt Us
Diane Grade, RN, BSN, CPON, Operations Manager 4East
Sherry Nolan, RN, MSN, CPN, Clinical Manager
Willow Voytko, RN, Clinical Nurse II
Kathy Wafer, RN
Children's Hospital Los Angeles, Los Angeles, CA

Top Poster Winners - Quality Improvement and Patient Safety

 

Medicus (Please Don't) Interrupt Us
Diane Grade, RN, BSN, CPON, Operations Manager 4East
Sherry Nolan, RN, MSN, CPN, Clinical Manager
Willow Voytko, RN, Clinical Nurse II
Kathy Wafer, RN
Children's Hospital Los Angeles, Los Angeles, CA

 

 

Teaching to Embed Practic Change Prevents CA-BSI in Pediatric Oncology
Grace Propper, Quality Management Practitioner
Stoney Brook Long Island Children' Hospital
Stoney Brook, NY

 

Top Poster Winner - Combined Category of Facilities Design, Pediatric Health Informatics and Technology, and Philanthropy

 

Implementing an Electronic Roadmap System for Pediatric Oncology Total
Robert Brown, MCP, Senior Software Developer
E.. Scott Rich, BSEE, EMBA, Director of Information Technologies
Feliciano Yu, Jr., MD, MSHI, MSPH, Chief Medical Information Officer
St. Louis Children’s Hospital, St. Louis, MO

Top Poster Winner - Child Advocacy

 
Vive tu Vida/"Live Your Life" to Fight Childhood Obesity
Stephanie Pitsirilos-Boquin, MPH, Program Manager, CHALK
NewYork-Presbyterian, Morgan Stanley Children’s Hospital, New York, NY

Creating Connections Conference comes to a close

NACHRI 2011 Creating Connections Conference drew to a close with a presentation by Seth Kahan, an expert on change leadership and performance improvement, author of Getting Change Right: How Leaders Transform Organizations From the Inside Out. Kahan has a blog based on ideas from the book.

Kahan's philosophy underlying his presentation is that "If you can get people to imagine something that they want and believe that it can be real, you have the best possible shot at 'rapid widespread change.'"

For Kahan, the paradigm of approaching change by generating a good idea and pushing it through is ineffective; his paradigm for change involves engagement -- the need to connect to people, to listen as much as you share, and involve key people. He offers two ways to look into the foreseeable future in that mindset:

• Deepen our understanding of our current situation by investigating customer needs and business challenges.
• Identify emerging trends and innovations by convening thought leaders to share practices worth replicating and interviewing successful entrepreneurs.

Kahan says that getting change right involves these key elements:

• Create rapid widespread engagement
• Communicate so people get it and spread it
• Identify and energize your most valuable players
• Understand the territory of change
• Accelerate change through performance communities
• Generate dramatic surges in progress
• Break though logjams
• Encourage work/life success in the midst of change

What did you take away from Kahan's presentation? What have been your favorite moments, lessons learned and connections made at this year's conference?

Building collaborations to reduce childhood trauma

Marcia Stanton, MSW, coordinator of child abuse prevention at Phoenix Children’s Hospital shared her journey in implementing an ACE (Adverse Childhood Experience) program at her hospital to make a statewide impact on child abuse education, prevention and treatment.

Getting started

For Stanton, this journey started in 2006 when she read an article on "Relationship of ACE to Adult Health: Turning Gold Into Lead," (PDF) by Dr. V.J. Felitti. Stanton invited Felitti to Phoenix for a Pediatric Grand Rounds to speak to hospital staff and held a community leader luncheon with more than 100 attendees.

From the ACE Study website, "The ACE Study is an ongoing collaboration between the Centers for Disease Control and Prevention and Kaiser Permanente.  Led by Co-principal Investigators Robert F. Anda, MD, MS, and Vincent J. Felitti, MD, the ACE Study is perhaps the largest scientific research study of its kind, analyzing the relationship between multiple categories of childhood trauma (ACEs), and health and behavioral outcomes later in life."

Developing direction

The community leader lunchen had produced some low level interest but not a lot of progress, so in 2007, Felitti was invited back to Phoenix for a more concentrated  community round table, out of which came the ACE "think tank" to look at "what does this mean" and "what can we do about it?" The think tank met throughout 2008 and started to set goals and build partnerships.

In 2009, goals became clearer, looking at more evidence based data. and the hospital eventually reached out to the local PBS station as a longterm partner in support of the ACE initiative. The "think tank" model eventually developed into the more official ACE Consortium

In 2010, the hospital a free two day "train the trainers" event and developed a "Strong Kids" toolkit as collateral, with resources to help attendees share the ACE ideas. The training session was attended by about 40 people from regional child abuse prevention councils, and another 35 professionals; each promised to share what they learned with other groups. In the first few months after being trained, the 75 trainers had presented to diverse groups totally more than 15,000 people across the state. A second train the trainer event will be happening next week to train another 60 trainers.

PBS Success

Through the PBS partnership, the station offered its services to create and host a Strong Kids web page. It also collaborated to put on a primetime Horizon special about the ACE program and, later, a primetime "Ask the Trauma Expert" Q&A with four local experts. (Both specials can be viewed on the Strong Kids web page.) The pre-recorded Q&A was aired with live bank support staffed with volunteer local child abuse professionals who answered calls throughout the show. The special was well received and another special will be aired soon. The PBS partnership has also helped connect the hospital to other community partners.

Outcomes and next steps

The ACE Consortium meets quarterly with a large and varied membership, requires limited funds and reinforces Phoenix Children's Hospital as a statewide leader. So far, the education and outreach efforts have unified the child abuse prevention message nationwide. They have trained 75 trainers -- soon to be 135 -- and those trainers are educating tens of thousands of other people about ACE. The group is also helping facilitate the Arizona rollout of Triple P -- Positive Parenting Program, one of the best researched and substantiated programs at reducing incidence of child abuse.

Lessons learned

Stanton offers several lessons learned from her experience with introducing an ACE program:

• There is widespread interest in implementing child abuse prevention
• Complicated issues require collaboration, and synergy is found in working together
• A program doesn't require lots of money; the Strong Kids program spent $450 to develop a logo and tagline, $2500 on developing and printing Strong Kids toolkit and other collateral; $2500 on the PBS primetime Horizons special; and $8000 on the Ask a Child Trauma Expert primetime special.Most of their resource support is donations of time or in kind provisions rather than money, though they money has become available when needed. Stanton herself is part time, 100 percent grant funded.
• An organic approach worked for Phoenix Children's (but this may not work for everyone)
• To create a child abuse prevention initiative, you have to be in it for "the long haul;" at Phoenix Children's, it took approximately four years to really get started and bring the resources together to have a tangible effect and momentum for the future.

Resource links

Stanton suggest the following links to look to for more resources; these organizations provided the understanding, research and support that helped Phoenix Children's develop its program.

• Stanton's Creating Connections Conference slide presentation and handout
• ACE Study
• Frameworks Institute
• National Scientific Council on the Developing Child
• CDC Strategic Direction of "Promoting Safe, Stable and Nurturing Environments"
• Prevention Institute
• 99 Designs (inexpensive resource for logo design, branding, graphics, etc.)

Children's Hospital EMR Adoption Progress

Marc Holland, vice president of research at HIMSS Analytics, shared data on electronic medical record adoption trends, looking at where children's hospitals stand compared to other hospitals, the progress that has been made in the past four years, and what to expect for the future.

NACHRI and HIMSS Analytics has a relationship that started in 2007, sharing a joint interest in collecting and analyzing data to assist NACHRI hospitals with benchmarking amongst peers.

The HIMSS Analytics database includes 5,274 hospitals. 195 are NACHRI members. 194 of those could be trended across 2007-2010. A look at EMR adoption shows children's hospitals have made much more rapid progress than hospitals as a whole.

EMR adoption is ranked from Stage 0 through Stage 7, with Stage 7 being the most comprehensive, fully electronic medical system. As of the beginning of March, 2011, 14.4 percent of NACHRI hospitals had achieved Stage 6 or 7, compared with 4.2 percent of all hospitals; 53.9 percent of children's hospitals have achieved Stage 4 or higher, compared with 19.2 percent of all hospitals. On the bottom end of the spectrum, only 2.1% of NACHRI hospitals are at Stage 0 or 1, compared with 17.2% of all hospitals.

Slides will be available soon on the NACHRI website that contained a detailed breakout of this research and a large volume of related data.

Meaningful Use

To expect to achieve meaningful use standards, which is where a lot of government funding is to be found for EMR implementation, hospitals need to be at at least Stage 4 EHR implementation. Children's hospitals are positioned at this point to take advantage in the short term of government dollars because of their lead in EHR adoption.

Looking down the road, Holland identified three words that correspond to three stages of meaningful use adoption: capture, share, improve. The regulations in existance or coming down the pipe help hospitals to think about their meaningful use data in these broad ideas.

For more information on EMR Implementation, watch for the slides to be added soon to the NACHRI website.

Where is your hospital at in EMR implementaton? What have been your biggest hurdles, and what challenges do you see ahead?

Award Winners Announced

At the 2011 Creating Connections Awards Luncheon, winners were announced for the poster competition, Impact Award, and 2011 Children's Hospitals Photo Exhibit. Congratulations to the winners!

Impact Award Winner, Public Relations & Communications

The Campaign to Save Lives: Seattle Children's Expansion
Laura Tufts, Director, Strategic and Special Projects, Seattle Children’s, Seattle, WA

Impact Award Winner, Development & Fundraising

Generation Cures - Based at Children's Hospital Boston
Shelley Brown, Vice President for Operations, Children’s Hospital Trust, Boston, MA

Impact Award Winner, Marketing

Meridian Health Pediatric Network - A Way of Looking at Pediatric Care that Changes Everything
Chrisie Scott, Vice President, Communications & Marketing, Meridian Health, Neptune, NJ
Ryan Younger, Marketing Manager, Jersey Shore University Medical Center and K. Hovnanian Children's Hospital, Neptune, NJ

Poster Competition Winner, Child Advocacy

Vive tu Vida/"Live Your Life" to Fight Childhood Obesity
Stephanie Pitsirilos-Boquin, MPH, Program Manager, CHALK
NewYork-Presbyterian, Morgan Stanley Children’s Hospital, New York, NY

Poster Competition Winner, Combined Tracks of Facilities Development, Pediatric Health Informatics and Technology, and Philanthropy

Implementing an Electronic Roadmap System for Pediatric Oncology Total

Robert Brown, MCP, Senior Software Developer
E.. Scott Rich, BSEE, EMBA, Director of Information Technologies
Feliciano Yu, Jr., MD, MSHI, MSPH, Chief Medical Information Officer
St. Louis Children’s Hospital, St. Louis, MO

Poster Competition Winner, Quality Improvement and Patient Safety

Medicus (Please Don't) Interrupt Us
Diane Grade, RN, BSN, CPON, Operations Manager 4East
Sherry Nolan, RN, MSN, CPN, Clinical Manager
Willow Voytko, RN, Clinical Nurse II
Kathy Wafer, RN
Children's Hospital Los Angeles, Los Angeles, CA

Overall Winner of the Poster Competition: Medicus (Please Don't) Interrupt Us

Congratulations again to all of the winners, and thanks to all of the finalists for all of their hard work.

Merger Approved

The NACHRI and N.A.C.H. Meetings of the Membership concluded with the following results. NACHRI and N.A.C.H. voting representatives approved bylaw changes that allow for the organizations’ full merger with Child Health Corporation of America (CHCA). NACHRI and N.A.C.H. Boards of Trustees affirmed the bylaw changes yesterday. The merger will result in unified governance.

Visit the NACHRI website for a detailed voting breakdown and more information on the merger.