Children's Hospitals Today - Spring 2024 - 15

IMPROVEMENT / FEATURE
SEATTLE CHILDREN'S
Health Equity
THE EXPERTS
Daniel Harton, Data Analyst Lead
Tia Rooney, MBA, Director, Ambulatory Operations and Strategic Initiatives
Connecting equity to missed appointments
A project to reduce missed appointments at Seattle Children's ambulatory clinics
revealed an opportunity to remove disparities that impede access to care. The missed
appointment rate across all the hospital's clinics was 8.8%, but data found patients
from underrepresented groups missed appointments at higher rates.
" The goal is to help patients receive the care they
need to improve outcomes. Anything we can do to help
reduce a disparity works toward that goal. " -TIA ROONEY
How it worked
STEP 1
A hospital data analyst created a model
to predict a patient's probability of
missing an appointment.
STEP 2
A member of the hospital's scheduling
team called patients at highest risk of
missing appointments.
STEP 3
During the call, the patient's family
member or guardian identified
accommodations needed to support
completing the appointment, such as
childcare or transportation.
STEP 4
The scheduler connected the patient's
representative with resources to
address their needs.
The results
The process reduced the
missed appointment rates
at a pulmonology clinic.
11.2% ▶ 7%
Decrease in overall rate
19.4% ▶ 12.7%
Decrease in rate among patients who
identify as Black or African American
12.8% ▶ 8.5%
Decrease in rate among
Spanish-language speakers
Word on
the street
We asked members at
the conference their
thoughts on pressing
topics in quality
improvement.
In 2024, what quality topic
or issue do you think will
be most dominant for
children's hospitals?
" Equity. We all care
greatly, but we're not
exactly sure what to do. I
don't have a playbook. "
-ANN MCCALLISTER
Director of quality and safety,
Riley Children's Health
" We've been so laser
focused on getting the
data to a state where we
can analyze it ... but once
you have the data, what
are you doing with it? I
don't think we've had an
awful lot of focus on what
is the plan now? "
-BENJAMIN FRANCIS
Program manager for
diversity, equity, and
inclusion, Children's
Hospital Los Angeles
What's one must-have
tool for QI projects?
" I think it's important to
find spaces where data
around safety and quality
is being tracked by race,
ethnicity, language, and
gender. Every hospital
and hospital system is
CHILDREN'S HOSPITALS TODAY Spring 2024
15

Children's Hospitals Today - Spring 2024

Table of Contents for the Digital Edition of Children's Hospitals Today - Spring 2024

Contents
Children's Hospitals Today - Spring 2024 - Cover1
Children's Hospitals Today - Spring 2024 - Cover2
Children's Hospitals Today - Spring 2024 - Contents
Children's Hospitals Today - Spring 2024 - 2
Children's Hospitals Today - Spring 2024 - 3
Children's Hospitals Today - Spring 2024 - 4
Children's Hospitals Today - Spring 2024 - 5
Children's Hospitals Today - Spring 2024 - 6
Children's Hospitals Today - Spring 2024 - 7
Children's Hospitals Today - Spring 2024 - 8
Children's Hospitals Today - Spring 2024 - 9
Children's Hospitals Today - Spring 2024 - 10
Children's Hospitals Today - Spring 2024 - 11
Children's Hospitals Today - Spring 2024 - 12
Children's Hospitals Today - Spring 2024 - 13
Children's Hospitals Today - Spring 2024 - 14
Children's Hospitals Today - Spring 2024 - 15
Children's Hospitals Today - Spring 2024 - 16
Children's Hospitals Today - Spring 2024 - 17
Children's Hospitals Today - Spring 2024 - 18
Children's Hospitals Today - Spring 2024 - 19
Children's Hospitals Today - Spring 2024 - 20
Children's Hospitals Today - Spring 2024 - 21
Children's Hospitals Today - Spring 2024 - 22
Children's Hospitals Today - Spring 2024 - 23
Children's Hospitals Today - Spring 2024 - 24
Children's Hospitals Today - Spring 2024 - 25
Children's Hospitals Today - Spring 2024 - 26
Children's Hospitals Today - Spring 2024 - 27
Children's Hospitals Today - Spring 2024 - 28
Children's Hospitals Today - Spring 2024 - 29
Children's Hospitals Today - Spring 2024 - 30
Children's Hospitals Today - Spring 2024 - 31
Children's Hospitals Today - Spring 2024 - 32
Children's Hospitals Today - Spring 2024 - Cover3
Children's Hospitals Today - Spring 2024 - Cover4
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