Grassroots Intervention to Increase Appointment of Pediatric Emergency Care Coordinators in Massachusetts Emergency Departments. (8th November 2018)

• Record Type: Journal Article
• Authors: Camargo, Carlos A.; Boggs, Krislyn M.; Sullivan, Ashley F.; Gutierrez, Camilo E.; Petrack, Emory M.
• Editors: Cloutier, Robert
• Other Names: Cloutier Robert L. guestEditor.; Mistry Rakesh guestEditor.
• Is Part Of: Academic emergency medicine. Volume 25:Number 12(2018)
• Page Start: 1442
• Page End: 1446
• Publication Date: 2018-11-08
• Subjects: Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1111/acem.13630
• Languages: English
• ISSNs: 1069-6563

Abstract

Abstract: Objectives: Appointment of a pediatric emergency care coordinator (PECC) is considered the single best intervention to improve pediatric emergency care and has been recommended for all U.S. general emergency departments (EDs) for more than a decade. Unfortunately, many EDs do not adhere with this recommendation. In 2017, we performed a grassroots intervention to establish a PECC in every Massachusetts ED. Methods: We conducted annual surveys of all 73 Massachusetts EDs from 2014 to 2018. Data collection included ED visit volumes, presence of a pediatric area, and PECC status. The intervention in 2017–2018 included e‐mails and telephone calls to every ED director to not only assess PECC status but also encourage him/her to appoint one as needed. Results: Survey response rates were > 85% in all years and 100% during 2016 to 2018. While Massachusetts EDs did not materially change over time (in terms of visit volumes or presence of a pediatric area), the 2017 intervention increased the percentage of EDs with an appointed PECC. Specifically, PECCs were present in approximately 30% of EDs during 2014 to 2016, climbed to 85% in 2017, and reached 100% in 2018. Most of the newly appointed PECCs were physicians. Conclusions: Through a relatively simple grassroots intervention, we increased the appointment of PECCs in Massachusetts EDs from 30% to 100%. In addition to providing PECCs with online educational materials, ongoing work is focused on building community, identifying best practices, and implementing interventions at the local level.