New Constellations 2019 | Page 6

PEDIATRIC INTENSIVE CARE Sicker Patients, Better Outcomes PICU outcomes are a big part of the success of the entire institution, and we’re committed to continuously improving that care through quality improvement and research. We strive to push the boundaries of what’s possible in our field to improve the lives of children with critical illness.” In many ways, intensive care sits at the heart of a hospital, a hub that serves and drives outcomes for every specialty. Patients with acute disease and trauma, patients coming out of surgeries and solid organ transplantations, complicated patients, unstable patients: the Pediatric Intensive Care Unit treats them all. As a regional supercenter and the only Level 1 Pediatric Trauma center in a 350-mile radius, Children’s Colorado cares for some of the most acute, high-risk pediatric conditions in seven states. And our PICU team does it at higher volumes, with better outcomes and shorter stays than the national average — by a wide margin. The standardized mortality ratio, or SMR, measures predicted mortality given a patient’s acuity against the actual outcome. Our PICU far outperforms the national average. Standardized Mortality Ratio (PRISM III) Our PICU treats roughly 30 percent more patients annually, compared to the averages of our peer institutions. National Average Our patients are sicker, but they survive at a higher rate than expected. Shorter stays The standardized or severity-adjusted length-of-stay ratio — otherwise known as SLOSR — predicts length of stay based on acuity. Here, too, we outperform the national average. The axis of excellence Plotted out with SMR on the y-axis and SLOSR on the x-axis, our PICU plots in the lower-left quadrant as measured against national averages. We’re in the 95 th percentile for both. Standardized Mortality Ratio (PRISM III) versus Standardized LOS Ratio (PRISM III) plot across ICUs 95 TH PERCENTILE 80 TH PERCENTILE 50 TH PERCENTILE Standardized LOS Ratio (PRISM III) BETTER National Average National Average 4 Children’s Colorado 30% Medical Director, Pediatric Intensive Care Unit Better survival More patients TODD CARPENTER, MD Our patients are sicker, but they leave the PICU sooner than expected. Children’s Colorado For more details on Children’s Colorado PICU data, visit childrenscolorado.org/PICU. National Average LEADERSHIP: Kurt Stenmark, MD Chief, Pediatric Critical Care Medicine, The La Cache Critical Care Endowed Chair NEW CONSTELLATIONS 5