Hospital Operations

Comparative effectiveness research is all the rage in medical and political circles these days. It’s the simple-sounding concept of comparing treatments and interventions to figure out which one is best for which patients. It’s not something we’ve done a lot › Continue Reading

It’s no secret that we measure just about everything at Cincinnati Children’s. We do it so we can tell how we’re doing in our quest to be the leader in improving child health. We also share the information because we › Continue Reading

The headline here seems to make intrinsic sense. After all, health care is a doctor’s world and therefore doctors would be heavily involved in the process to make it better, safer and more efficient. Right? Not always, says Patrick Conway, › Continue Reading

The July Effect

A couple of weeks ago, we noticed an MSNBC.com article, “Hospitals really can be deadlier in July, study shows.” One study shows that medication errors skyrocket in July, the month after med school graduations, and thus the first month that › Continue Reading

In pediatric medical circles, we take any opportunity to remind anyone who will listen that “children are not small adults.” We make the distinction because treating children takes special care. You can’t just take adult medicine and “cut it down › Continue Reading

We’re pleased to write that today the right person has been appointed head of the Centers for Medicare and Medicaid Services and will be thrust into the middle of the efforts to reshape health care in the United States. Pediatrician Donald › Continue Reading

Statewide Program Significantly Reduces Inappropriate Scheduling of Births before 39 Weeks Cincinnati Children’s News Release A statewide Ohio program significantly reduced the monthly rate of inappropriately scheduled births before 39 weeks gestation, helping to avoid expensive neonatal intensive care unit › Continue Reading

Health care is risky business.  And while checklists, as advocated by Dr. Atul Gawande in his book The Checklist Manifesto, are a good start in reducing medical errors, they aren’t enough. The overall mortality rate in pediatric cardiac surgery nationally › Continue Reading

A third of Ohio children with special health care needs have unstable or inadequate insurance coverage despite the fact that they may qualify for government health programs. Our Child Policy Research Center has analyzed data about Ohio children with special › Continue Reading

The Healthy Choices for Healthy Children legislation we discussed a couple of months back (here, and here) passed in the Ohio Senate yesterday afternoon. Cincinnati Children’s and the Ohio Children’s Hospital Association have strongly supported this bill from its infancy › Continue Reading

Don Berwick, President Obama’s choice to lead the Center for Medicare and Medicaid Services, faces many challenges. Transformation of health care is not for the faint of heart. But there is very good evidence that the reduction in cost and › Continue Reading

It’s been a pleasure these past few weeks to see all the praise being heaped on our friend Don Berwick, who is President Obama’s choice to lead the Center for Medicare and Medicaid Services. Sometimes it’s hard to argue with › Continue Reading

Continuing a refrain she used during her visit to Cincinnati Children’s a couple weeks ago, Kathleen Sebelius, secretary of  Health and Human Services, told a group of reporters from across the country that making improvement in health care information technology › Continue Reading

There was a time that when the feds talked about quality in terms of Medicare and Medicaid, they were referring to fraud. If you weren’t stealing, you ran a quality program. Times have changed, thankfully. It’s still wrong to steal, › Continue Reading

The Global Report on Preterm and Stillbirth was published in February by the Global Alliance to Prevent Prematurity and Stillbirth (GAPPS). The report shows that newborn deaths account for 42 percent of mortality in children under the age of five. › Continue Reading

Sometimes it’s nice to hear what you already know. One of those times was this morning when Health and Human Services Secretary Kathleen Sebelius came to Cincinnati Children’s to learn about some of our work and to talk about what’s › Continue Reading

Since last fall, we’ve been talking about ways to improve health care by harnessing the collective intelligence of doctors, nurses and patients through social networking. Seems this idea is catching on. See this latest story from MarketWatch. The story is › Continue Reading

We’ve been waiting for the dust to settle a bit over the health care reform debate, but that doesn’t appear too likely any time soon. Here are two bits of information from The Advisory Group just in today: Law of › Continue Reading

Dozens of speakers at the NACHRI spring meeting, Creating Connections, are engaging representatives from children’s hospitals and related institutions in a vigorous dialogue this week on topics from quality and safety to health care reform, transparency, working in partnership and, › Continue Reading

Here in what is normally sunny, warm San Diego, hundreds of people from children’s hospitals across the country have gathered for their annual spring meeting. The topics at the NACHRI meeting are varied, from public relations and fund-raising tactics, to › Continue Reading

“It’s OK to ask.” That’s the message of a Greater Cincinnati Health Council-backed campaign to promote patient safety. The idea is that health care providers want patients to be more proactive in their dealings with doctors, nurses and other caregivers. › Continue Reading

Atul Gawande’s recently released book, The Checklist Manifesto, caught our attention last week as Dr. Gawande was making the media rounds. We’re clearly not in the business of reviewing books (but here’s one courtesy of the New York Times, if › Continue Reading

It’s not every day a group of doctors sits quietly in a room and listens to patients, parents and peers tell them what they think is wrong about the way the care is provided. But that’s how a group of doctors that › Continue Reading

Usually when we talk about something being disruptive, it’s a bad thing. The wreck on the highway “disrupts” the morning commute. The snowstorm “disrupts” air travel. People on laptops and cell phones “disrupt” meetings. But how about if we could › Continue Reading

We obviously haven’t read the fine print of the proposed federal budget released by the Obama Administration in Washington, D.C., yesterday, but we were encouraged to read about the prospect for new funding to broaden our approach to global health. › Continue Reading