title: Building communication between professionals at children's specialty hospitals and the medical home.
abstract: OBJECTIVE
  Build a quality improvement (QI) intervention to improve communication between a children's specialty hospital and referring primary care providers (PCPs).
  
  
  METHODS
  A network of charitable children's hospitals identified improving communication as a systemwide goal. At one model hospital, we used qualitative telephone interviewing of hospital specialists and staff, and referring PCPs, to characterize the communication system and identify potential improvements. We identified potential high-impact areas through content analysis and developed a QI change package with hospital leadership.
  
  
  RESULTS
  Participants described inconsistent communication, with no systematic identification of PCPs. Families were the typical means of inter-physician communication. Multiple non-PCP referral sources were a major contributor to communication breakdowns. Respondents identified a system for identification and communication with PCPs as an essential first step.
  
  
  CONCLUSIONS
  Systems for communication with PCPs are underdeveloped at a children's charitable specialty hospital. Straightforward changes could build an effective system that is generalizable to other hospitals.
authors.affiliation: Department of Pediatrics, University of Massachusetts Medical School, Worcester, Massachusetts, USA. stillec@ummhc.org
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Stille
authors.forename: Jennifer
authors.initials: J
authors.lastname: Frantz
authors.forename: Lawrence C
authors.initials: LC
authors.lastname: Vogel
authors.forename: Donald
authors.initials: D
authors.lastname: Lighter
mesh_terms: D002648:Child; D003142:Communication; D003266:Continuity of Patient Care / Q000592:standards*; D005260:Female; D006776:Hospitals, Pediatric / Q000592:standards*; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008404:Massachusetts; D010819:Physician's Role; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000592:standards; D019984:Quality Indicators, Health Care / Q000592:standards; D012107:Research Design; D011795:Surveys and Questionnaires