Report From the Section
Ricardo A. Quinonez, MD, FAAP
The phenomenal growth of Pediatric Hospital Medicine continues unabashed. As hospitalists continue to grow and define their roles in the field of medicine our influence on the health of children will continue to expand. Some of our own colleagues now have national, regional and local positions from which they will influence the practice of medicine for children and patients in general. With the coming changes in the health care environment and as provisions of the Affordable Care Act come into effect, hospitalists who choose to get involved will shape the landscape of medicine for hospitalized children. One way this will happen is in the development of robust sets of evidence-based quality indicators for children hospitalized with various conditions. After all, reimbursements and even hospital accreditation will very likely be tied to such indicators in the near future. I have been fortunate enough to be involved in some national efforts to create quality indicators for hospitalized children, most recently with a group developing indicators for children with inflammatory bowel disease. One lesson I have learned through these efforts is, no matter how specialized the discipline or disease process is, the “higher quality” indicators are often those tied to general pediatrics. Vaccinating hospitalized children, making sure hospitalized children have appropriate follow-up, issues with transition of care and communication with primary health care providers, are some examples of indicators that are always in the list no matter what the condition or specialty developing them. The good news is that these are the very issues pediatric hospitalists care about and ones which we are very good at addressing. This is why we are often invited to the table when such efforts are undertaken.
However, it is not enough that we wait for an invitation. We must also invite ourselves. The American Academy of Pediatrics and other national organizations to which pediatric hospitalists belong are often asked to provide guidance or representatives from various disciplines to other organizations or groups developing such indicators. As the voice for general pediatrics in the hospital, we must make sure that pediatric hospitalists are always considered in these efforts, especially when they may influence the care that hospitalized children receive. The Section on Hospital Medicine (SOHM) will continue to be vigilant, but we encourage all of our Section members to actively participate either through the AAP or through another national, regional or local organization involved in this process – maybe even both. We also encourage participation in groups such as the SOHM supported Value in Inpatient Pediatrics (VIP) network now aligned with the AAP’s Quality Improvement Innovation Network (QuINN). Groups such as VIP are laying the groundwork for benchmarks that will drive the development of future quality indicators. Please let us hear your voice on this and other issues and tell us how the Section can help.
PHM Goes International!!!
One of The Section of Hospital Medicine’s (SOHM) goals is the development of international partnerships and promotion and dissemination of the Pediatric Hospital Medicine (PHM) model to other countries interested in learning about our experience. Taking this goal to heart, the Section recently supported the First Brazilian Pediatric Hospital Medicine Symposium. The conference was organized by Dr Guilherme Brauner Barcellos, the current President of the Brazilian Hospital Medicine Society and former President of the Pan-American Society of Hospitalists (PASHA), and Dr Fabiana Rolla, Brazil’s first (and likely only) full-time pediatric hospitalist. The conference, which took place November 9, 2012 in Porto Alegre, Brazil, covered many clinical and educational topics. Participants from the United States included Dr Geeta Singhal and Dr Ricardo Quiñonez who spoke about clinical topics, patient safety, education and the PHM experience in the United States. The hospital medicine movement in Brazil has many similarities to the early US experience. Adult hospitalists have started to become fairly accepted and widespread and with Dr Rolla’s lead, pediatric hospitalists are very likely to follow. Some shared experiences with barriers such as acceptance by primary care practitioners were presented and strategies to overcome these were discussed.
Also recently, Dr Jack Percelay, founding chair of the AAP Section on Hospital Medicine, visited the University of Munich Kinderspital in December 2011 and presented a noontime talk to approximately 40 attending physicians and pediatric house officers entitled “An Overview of Inpatient Pediatric Care in the United States.” After an introduction describing the training of pediatricians in the United States and the demographics of pediatric inpatient admissions in the United States based on AHRQ data, the core competencies in pediatric hospital medicine were discussed and reviewed. The bulk of the presentation concentrated on the outpatient: inpatient interface in the United States. For the most part, the audience sensed that they too were pediatric hospitalists, even if they hadn't known it before. Overall, there were more similarities than differences, although the availability of universal health care in Germany was an obvious difference that eliminated many of the follow-up concerns pediatric hospitalists experience in the United States.
SOHM will continue to promote international activities by our members and the dissemination of the Pediatric Hospital Medicine model to other countries. We encourage members to report their international and global health experiences and share them with the PHM community. Currently an International Activities Subcommittee of SOHM is in the works, so stay tuned.
Save the Date! Pediatric Hospital Medicine Conference 2012
July 19–22, 2012, Cincinnati, Ohio
Sponsored by the American Academy of Pediatrics Section on Hospital Medicine, Academic Pediatric Association, and the Society of Hospital Medicine
Registration information coming soon! Visit http://phm.aap.org for the latest updates.
Interested in Presenting Your Research at the Academy's National Conference & Exhibition (NCE) in New Orleans?
The AAP Section on Hospital Medicine (SOHM) Call for Abstracts 2012 is now open and ready for viewing. Visit http://aap.confex.com/aap/2012/cfp.cgi for details and submission guidelines.
Also the selection of the Section's Pediatric Hospital Medicine Abstract Research Award recipient is part of the abstract process. Background on the award can be found at http://www2.aap.org/sections/hospcare/hospcaregrants.htm. The winner receives $1000 and a plaque–not to mention that his or her research is highlighted in a future issue of the Hospital Pediatrics journal as well as during the SOHM Program at the NCE.
Deadline–Friday, April 13, 2012.
- Copyright © 2012 by the American Academy of Pediatrics