James M. Anderson Center for Health Systems Excellence

  • Our Shared Vision: Ohio Will Be the Safest Place for Child Healthcare

    “The opportunity to learn from other hospitals has helped us in working toward our strategic goal of eliminating events of serious harm at Cincinnati Children’s by 2015. And when we’re all using the same index to gauge harm, we’ll better be able to find its root causes, share these findings across all hospitals and keep harm from reaching patients and families.”
    Stephen Muething, MD, vice president for safety

    Launched in January 2009, the Ohio Children’s Hospitals Solutions for Patient Safety learning network is a partnership between the state’s eight children’s hospitals and the business community to improve the quality of care delivered in Ohio and to reduce healthcare costs. 

    To realize the shared vision, each participating institution has committed to complete transparency and data sharing to foster an “all teach, all learn” culture.  Because of this approach, we now have a robust learning network focused on eliminating harm at children’s hospitals across the state. 

    A Strong Beginning

    The partnership has realized significant results through its initial efforts. Specifically, Ohio’s children’s hospitals achieved a 60 percent reduction in surgical site infections in designated cardiac, neurosurgery and orthopaedic procedures and a 34.5 percent reduction in overall adverse drug events. These efforts have saved 3,583 children from unnecessary harm and avoided $5.3 million in unnecessary healthcare costs.

    Adverse drug events: ADEs decreased from 23 to 13 per 1,000 patient days. This improvement resulted in a savings of $4.5 million per year and an estimation of 3,552 fewer children harmed per year. Download .pdf.Surgical site infections: We started with a baseline of 4.4 SSIs per 100 cases. After two years, the SSI rate improved to 1.7. This is an estimated cost avoidance of $680,000 and 24 fewer children harmed per year. Download .pdf.

    Current Focus

    Building upon this success, the Ohio Children’s Hospital Solutions for Patient Safety (OCHSPS) learning network is now focused on a goal that is broader in scope and bolder in ambition  − eliminating all serious harm in Ohio’s children’s hospitals.

    Initial efforts will focus on eliminating serious safety events (SSEs) and developing a patient harm index to capture all elements of harm. This work is the first of its kind in the country.    

    The current aims for the OCHSPS project:

    • Global aim: Eliminate all serious harm across the eight Ohio children’s hospitals      
    • Strategic aim No. 1: Reduce the number of statewide serious harm events by 50 percent by the end of 2013. Further reduce the number by a total of 95 percent by the end of 2015.
    • Strategic aim No. 2: Reduce the 12-month rolling average rate of serious safety events by 50 percent from the highest rate detected in the first year of measurement across the eight Ohio children’s hospitals by the end of 2012. Further reduce the rate by a total of 75 percent by the end of 2015. 

    To date, all eight children’s hospitals have adopted error prevention behaviors and techniques as well as leadership methods based upon high reliability science.  Across the state we are sharing lessons learned as well as adopting the same methodology for declaring and reducing serious safety events. 

    Strong Private Sector Support

    Cardinal Health Foundation is a founding sponsor and continued partner – investing more than $2.5 million. Other funders include Medical Mutual of Ohio, American Electric Power, the George Gund Foundation, the Health Foundation of Greater Cincinnati, AK Steel and Humana.

  • Collaborating for Children


    In addition to Cincinnati Children’s Hospital Medical Center, these organizations are founding partners of the Ohio Children’s Hospitals Solutions for Patient Safety:

    > Akron Children’s Hospital

    > Cleveland Clinic Children's Hospital

    > Dayton Children’s Medical Center

    > Nationwide Children’s Hospital (Columbus)

    > St. Vincent Mercy Children’s Hospital (Toledo)

    > Rainbow Babies & Children’s Hospital (Cleveland)

    > Toledo Children’s Hospital

    Business Community

    > Cardinal Health Foundation

    > The Ohio Business Roundtable

    > Ohio Children’s Hospital Association