title: Cincinnati Children's Hospital Medical Center: transforming care for children and families.
abstract: BACKGROUND
  Cincinnati Children's Hospital Medical Center pursues its vision to be the leader in improving child health through the creation of new knowledge, education of professionals and the community, and transformation of our health care delivery system.
  
  
  METHODS
  The strategic plan focuses on achieving the best medical and quality of life outcomes, patient and family experience of care, and value through horizontal integration of research and delivery system design, thereby accelerating the transfer of new knowledge to the bedside.
  Family members and patients participate at all levels of the organization, from the organizationwide family advisory council, to unit-based inpatient teams, to serving as family faculty who teach pediatric residents and orient new employees. Family members ensure that children's and parents' voices are heard.
  
  
  CONCLUSIONS
  Key factors contributing to ongoing transformation include senior leaders' drive for change, focus on perfection or near-perfection goals, vertical alignment in measures, accountability, improvement capability, commitment to internal and external transparency, and focus on measurement and constancy of purpose.
authors.affiliation: Chronic Care Programs, Cincinnati Children's Hospital Medical Center, USA. maria.britto@cchmc.org
authors.forename: Maria T
authors.initials: MT
authors.lastname: Britto
authors.forename: James M
authors.initials: JM
authors.lastname: Anderson
authors.forename: William M
authors.initials: WM
authors.lastname: Kent
authors.forename: Keith E
authors.initials: KE
authors.lastname: Mandel
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Muething
authors.forename: Gerry M
authors.initials: GM
authors.lastname: Kaminski
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Schoettker
authors.forename: Gerry
authors.initials: G
authors.lastname: Pandzik
authors.forename: Lee A
authors.initials: LA
authors.lastname: Carter
authors.forename: Uma R
authors.initials: UR
authors.lastname: Kotagal
mesh_terms: D002648:Child; D002662:Child Health Services / Q000458:organization & administration / Q000592:standards*; D002669:Child Welfare; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D019317:Evidence-Based Medicine / Q000592:standards; D006776:Hospitals, Pediatric / Q000458:organization & administration* / Q000592:standards*; D006801:Humans; D007324:Institutional Management Teams / Q000458:organization & administration*; D007588:Job Satisfaction; D007857:Leadership; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D009820:Ohio; D009936:Organizational Innovation; D017060:Patient Satisfaction; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D017751:Safety Management / Q000458:organization & administration; D014481:United States