Prioritizing Pediatric Readiness: How Proper Preparedness Saves Young Lives

Prioritizing Pediatric Readiness: How Proper Preparedness Saves Young Lives

One goal in our healthcare improvement is to achieve equitable access to high quality emergency care for kids, regardless of where that child is physically located. Children have unique characteristics and needs, especially in the emergency setting, and the reality is that not all kids have access to specific pediatric care. In fact, 80% of children receive emergency care in general emergency departments, most of which see less than 15 pediatric patients a day. However, care in those adult settings is not specifically geared towards children. Research shows that pediatric readiness results in lower mortality rates among sick and injured kids. Fortunately, ongoing state and national initiatives are making strides in enhancing pediatric readiness. “The first piece of this is that the focus is on system design. This is not about the failings of a single provider, or the knowledge or skill set of healthcare providers. We are only as good as the system in which we work,” Katherine Remick, MD, says.

In today’s episode we are joined by Dr. Remick as well as Kathleen Adelgais, MD. Dr. Remick joins us from Austin Texas, where she is a pediatric emergency medicine provider and an associate professor of pediatrics at the University of Texas at Austin Dell Medical School. She is also the Associate Chair for Quality, Innovation, and Outreach within the Department of Pediatrics. In addition, she is co-director of both the National EMS for Children Innovation and Improvement Center, as well as the National Pediatric Readiness Project. Dr. Adelgais is an emergency medicine physician here at Children’s Hospital Colorado and the project director of the Colorado EMS for Children Program. “There are a series of research studies coming out left and right, right now that show the real dramatic impact of pediatric readiness, Dr. Adelgais says. The research we are getting from the rich data set of the pediatric readiness scores across hospitals, you’re hard pressed to find any treatment anywhere for anything that reduces mortality that dramatically.”

Some highlights from this episode include:

  • What pediatric readiness is and how we achieve it
  • The importance of system-level improvements
  • What COPPER is and how it aligns with national efforts
  • What the pediatric readiness score measures
  • Success through the data

For more information on Children’s Colorado, visit: childrenscolorado.org

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Transitioning Kids from Pediatric to Adult Care with Daniel Wood, MD (Rebroadcast S5:E24)

Transitioning Kids from Pediatric to Adult Care with Daniel Wood, MD (Rebroadcast S5:E24)

The transition from adolescent to adult care can often be a series of challenging obstacles for patients, families, and providers. This time of adjustment can be both overwhelming and difficult, especially for patients with congenital health conditions. Moving from a parent supervised visit to an independent patient model takes time and often takes a lot of discussion. In this episode, we are going unpack and inform primary care providers on how they can play a pivotal role in the transition of care.   Dr. Daniel Wood is the newest addition to our Urology department here at Children’s Hospital Colorado. Resources: Twitter for pediatric healthcare professionals.

11 Huhti 202323min

Empowering Patients and Families Through Reading with Michelle Shiffman, MD (S6:E33)

Empowering Patients and Families Through Reading with Michelle Shiffman, MD (S6:E33)

Learning how to read is a pivotal point in childhood development. Incorporating reading into a family’s daily routine not only helps with brain development, but it also fosters an emotional relationship between children and their caregivers. Pediatric healthcare workers can help promote healthy reading habits by educating and assisting their patients and families at their pediatric well visits. Michelle Shiffman, MD, joins us on this episode to discuss approaches that help families integrate reading into their home lives. Dr. Shiffman is the Medical Director of Reach Out and Read, a nonprofit organization that helps equip families and pediatric practices with the tools and information they need to make reading aloud a daily routine. Guest: Michelle Shiffman, MD, is a pediatrician at Denver Health and the Medical Director for Reach Out and Read. Resources: Reach Out and Read Colorado: https://reachoutandreadco.org  For more information on Children’s Hospital Colorado, visit: childrenscolorado.org

4 Huhti 202321min

Combatting the Rise of Anxiety in Children with Cassidy McNitt, MD, and Benjamin Mullin, PhD (S6:E32)

Combatting the Rise of Anxiety in Children with Cassidy McNitt, MD, and Benjamin Mullin, PhD (S6:E32)

There has been an overwhelming amount of change and disruption in the lives of kids over the last few years. Without the foundation of stability and predictability, many children are struggling with an array of anxiety disorders. As part of our ongoing Mental Health Series, Drs. Cassidy McNitt and Benjamin Mullins discuss how to support these kids and make sure they have access to the resources and help they need.  Guests: Cassidy McNitt, MD, is an assistant professor of Child and Adolescent Psychiatry for the Children’s Hospital Colorado Consultation and Liaison Service and the Colorado Pediatric Psychiatry Consultation and Access Program.   Benjamin Mullin, PhD, is an associate professor of Psychiatry at the University of Colorado School of Medicine and a clinical psychologist. Dr. Mullin is the director of the Colorado OCD and Anxiety Program at Children’s Colorado.   Today's episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado. Ent, Colorado’s largest credit union, has a passion for people, not for profit. Ent has more than 45 service centers located up and down the Front Range, including the Denver Metro area and Northern Colorado. Insured by NCUA.  For more information on Children’s Hospital Colorado, visit: childrenscolorado.org

28 Maalis 202334min

Conjunctivitis: Should I Prescribe Medication for This? with Nicole Poole, MD (S6:E31)

Conjunctivitis: Should I Prescribe Medication for This? with Nicole Poole, MD (S6:E31)

Conjunctivitis, commonly known as pink eye, is a common eye infection that presents at pediatrician offices and often keeps kids out of school or daycare. Although conjunctivitis is commonly caused by viral infections, there are other reasons why a patient might get pink eye. As a pediatric provider, it is essential to understand the signs and symptoms of pink eye and to weigh the risks and benefits of prescribing antibiotics. This episode discusses the treatment of conjunctivitis and the role pediatricians play in antibiotic stewardship.   Guest: Nicole Poole, MD, is an assistant professor of pediatrics in the Division of Infectious Diseases at the University of Colorado and the Associate Medical Director of the Antibiotic Stewardship Program at Children’s Hospital Colorado.   Episode resources:  Colorado Department of Public Health and Environment (CDPHE) website: https://cdphe.colorado.gov/child-care-health-regulations How Sick is Too Sick? (CDPHE): https://drive.google.com/file/d/1RcdCmU4SYXwmVhJrA3Pyk0gP0MTDClkF/view  AAP Managing Infectious Diseases in Child Care and Schools: https://shop.aap.org/managing-infectious-diseases-in-child-care-and-schools-6th-edition-paperback/ Ophthalmic antibiotic use for acute infectious conjunctivitis in children: https://pubmed.ncbi.nlm.nih.gov/34737083/ Uncomplicated Acute Respiratory Tract Infections (ARTI) Clinical Pathways: https://www.childrenscolorado.org/health-professionals/clinical-resources/clinical-pathways/uncomplicated-acute-respiratory-tract-infections/     For more information on Children’s Hospital Colorado, visit: childrenscolorado.org

21 Maalis 202323min

A Promise Fulfilled – A Pediatrics Story of Love and Caring with Jennifer England, MD, and Sunit Gill, MD (S6:E30)

A Promise Fulfilled – A Pediatrics Story of Love and Caring with Jennifer England, MD, and Sunit Gill, MD (S6:E30)

We're exploring something different in this episode and intentionally not discussing pediatric care. In this episode we share the incredible story of an enduring friendship between two pediatricians — a friendship that’s been both generous and life-changing.  Guests: Dr. Jennifer England, a pediatrician with Pediatrics at Cherry Creek, and Dr. Sunit Gill, a pediatrician at Greenwood Pediatrics, both located in Colorado. For more information on Children’s Hospital Colorado, visit: childrenscolorado.org

14 Maalis 202329min

The Rise of Teen Substance Abuse and Addiction with Christian Thurstone, MD (S6:E29)

The Rise of Teen Substance Abuse and Addiction with Christian Thurstone, MD (S6:E29)

As the pandemic continues to shine a light on the mental health crisis in America, the devasting effects of substance abuse and addiction are increasing. Teens across the country continue to use and abuse alcohol, marijuana and nicotine-based vaping, and the rate of deaths linked to fentanyl has hit an all-time high. In the latest episode of our Mental Health series, we are joined by Christian Thurstone, MD, who discusses what’s new in adolescent substance use, how it's affecting kids and what providers can do about it. Guest: Christian Thurstone, MD, the Director of Behavioral Health Services at Denver Health and a professor of psychiatry at the University of Colorado School of Medicine. Today's episode is underwritten by Businessolver, who is partnering with Children's Hospital Colorado to create a better mental health future for children. Businessolver is creating a mentally healthy, well-educated workplace where diversity, equity and inclusion matter. Together, we can change the state of pediatric mental health.

7 Maalis 202334min

A Closer Look at Sacral Dimples with Mark Erickson, MD  (S6:E28)

A Closer Look at Sacral Dimples with Mark Erickson, MD (S6:E28)

How do you know if a sacral dimple needs a closer look? Sacral dimples can be nothing at all, or they may be an indication of something more serious, such as tethered cord syndrome, dermal sinus tract or spina bifida oculate. In this episode, learn how sacral dimples should be evaluated and when providers should run more tests or refer to a specialist. Guest: Dr. Mark Erickson is the Medical Director of the Spine Center and the Pediatric Orthopedics Fellowship Director at Children’s Hospital Colorado, and a professor in the Department of Orthopedics at the University of Colorado School of Medicine.  For more information on Children’s Hospital Colorado, visit: childrenscolorado.org

28 Helmi 202319min

Resident Files: Health Equity Rounds with Kathryn Kalata, MD (S6:E27)

Resident Files: Health Equity Rounds with Kathryn Kalata, MD (S6:E27)

Implicit bias and systemic racism contribute to health disparities, and they cannot be accounted for only by the social determinants of health (income, education, marital status, employment, etc.). Everyone brings their own biases and lived experiences to the table, and as physicians, it is our responsibility to recognize the role bias plays in our interactions with patients and team members, as well as within our healthcare system.  In the latest episode in our Resident Files series, we talk with Kathryn Kalata, MD, about Health Equity Rounds, an initiative to address bias in the care we provide our patients.  Guest: Dr. Kathryn Kalata, a current resident at the University of Colorado. For more information on Children’s Hospital Colorado, visit: childrenscolorado.org

21 Helmi 202326min

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