Pediatric Grand Rounds (RECORDING) Connecting the Dots on Our Safety and Quality Journey: Embracing the Quadruple Aim

This presentation is a recording of a Stanford Pediatric Grand Rounds Session.  World-renowned experts will present the latest research, practice guidelines, and treatment protocols to advance best practices in the care of pediatric patients. These online recordings will provide pediatricians and family physicians with up-to-date clinical information on a wide range of clinical issues encountered in daily pediatric practice. The safety and quality journey at Boston Children's have centered on embracing the quadruple aim. We strive to become a highly reliable learning health system to improve safety, quality, and patient experience, while engaging patients and families and recognizing the importance of the experience of our workforce.

  Release Date: March 23, 2023
  Expiration Date: March 22, 2024
  Estimated Time to Complete: 1.0 hour
  Registration Fee: FREE
 *Originally recorded 02/10/2023

1. Review the safety and quality structure at Boston Children's Hospital.
2. Discuss why patient experience is important and how we measure it and how patients and families are incorporated into our quality and safety work.
3. Appreciate the quadruple aim of healthcare and how it relates to our everyday work.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require accommodations, please contact the CME Conference Coordinator.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography

Luff, D., Buscher, S. W., Ward, V. L., Ballal, S. A., Holden, P., Pierre, R., Won, P., Yu, E. J., & Toomey, S. L. (2022). Understanding Racial, Ethnic, and Socioeconomic Differences in the Ambulatory Care Experience. Pediatrics, 150(6), e2021056001. https://doi.org/10.1542/peds.2021-056001

National Academies of Sciences, Engineering, and Medicine; National Academy of Medicine; Committee on Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being. (2019). Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. National Academies Press (US).

Nundy, S., Cooper, L. A., & Mate, K. S. (2022). The Quintuple Aim for Health Care Improvement: A New Imperative to Advance Health Equity. JAMA, 327(6), 521–522. https://doi.org/10.1001/jama.2021.25181

Talbot, S. G., & Dean, W. (2018). Physicians aren’t ‘burning out'.’ They’re suffering from moral injury. STAT News. https://www.statnews.com/2018/07/26/physicians-not-burning-out-they-are-suffering-moral-injury/

Toomey, S. L., Elliott, M. N., Zaslavsky, A. M., Klein, D. J., Ndon, S., Hardy, S., Wu, M., & Schuster, M. A. (2017). Variation in Family Experience of Pediatric Inpatient Care As Measured by Child HCAHPS. Pediatrics, 139(4), e20163372. https://doi.org/10.1542/peds.2016-3372

Toomey, S. L., Zaslavsky, A. M., Elliott, M. N., Gallagher, P. M., Fowler, F. J., Jr, Klein, D. J., Shulman, S., Ratner, J., McGovern, C., LeBlanc, J. L., & Schuster, M. A. (2015). The Development of a Pediatric Inpatient Experience of Care Measure: Child HCAHPS. Pediatrics, 136(2), 360–369. https://doi.org/10.1542/peds.2015-0966

For CME general questions, please contact 
     Email: [email protected]

Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education. 

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Alan R. Schroeder, MD
Clinical Professor
Stanford University

Co-Course Director

Nothing to disclose

Olivera Marsenic Couloures, MD
LPCH

Course Director and Reviewer

Nothing to disclose

Sara Toomey, MD, MPH
SVP, Chief Safety and Quality Officer
Boston Children's Hospital

Faculty

Nothing to disclose

Debra Babcock, MD
Stanford Childrens (PCHA)

Planner

Nothing to disclose

Lisa Jo Chamberlain, MD
Professor of Pediatrics – General Pediatrics
Stanford Children's Health

Planner

Nothing to disclose

Baraka Dechelle Floyd, MD
Clinical Assistant Professor and Associate Chair for Diversity, Equity, and Inclusion
Stanford University School of Medicine

Planner

Nothing to disclose

Charles Gawad, MD, PhD
Associate Professor
Stanford

Planner

Ownership-BioSkryb Genomics

Allison Guerin, EdD
Stanford

Planner

Nothing to disclose

Mary Beth Leonard, MD, MSCE
Arline and Pete Harman Professor and Chair, Department of Pediatrics
Stanford University

Planner

Nothing to disclose

Ryan Lion, MD, MS
Stanford University

Planner

Nothing to disclose

Lauren E O'Brien, MD
Clinical Assistant Professor
LPCH

Planner

Nothing to disclose

Stephen J Roth, MPH, MD
Attending, Cardiovascular ICU
Lucile Packard Children's Hospital Stanford

Planner

Nothing to disclose

Stephanie Squires, MD
Pediatric Hospital Medicine Fellow
Stanford Health Care/ Stanford Children's Hospital

Planner

Nothing to disclose

Ke-You Zhang, MD
Stanford University

Planner

Nothing to disclose