Improving follow-up in hospitalised children.
OBJECTIVE
To improve the clinic follow-up rate of paediatric inpatients in a tertiary care hospital.


METHODS
Inpatients who received pulmonary consultations from July 2007 to June 2008 at Cincinnati Children's Hospital Medical Center were eligible for this quality-improvement project. Multiple interventions were introduced to improve follow-up in our subspecialty clinic. A χ(2) test for association was used to assess the dependence between the clinic follow-up rate and the type of care coordination intervention. We hypothesised that generalisable care coordination interventions would result in improvements.


RESULTS
Two hundred and eleven patients were included. Two interventions were independently associated with improvements in the hospital follow-up rate. When a reminder to follow-up in the pulmonary clinic was inserted into the hospital discharge summary (partial intervention), the clinic follow-up rate improved from 27% to 55%. When the follow-up appointments were made for the families, with the appointments' noted in the discharge summaries, and automated appointment reminder phone calls were provided (full intervention), the follow-up rate improved further from 55% to 80%. The full intervention, when compared with no intervention, improved the clinic follow-up rate from 27% to 80%.


CONCLUSIONS
Establishing clinic appointments for patients and providing appointment reminders increases the hospital follow-up rate for hospitalised children in outpatient clinics.
Division of Pulmonary Medicine, University of Cincinnati, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio 45229, USA. gary.mcphail@cchmc.org
Gary L
GL
McPhail
Mathew D
MD
Ednick
Matthew C
MC
Fenchel
Rhonda
R
VanDyke
Amrita
A
Chima
Raouf S
RS
Amin
Michael
M
Seid
D002648:Child; D003266:Continuity of Patient Care / Q000592:standards*; D006760:Hospitalization; D006801:Humans; D009820:Ohio; D010371:Pediatric Nursing / Q000592:standards; D011785:Quality Assurance, Health Care / Q000379:methods*; D017010:Reminder Systems