PIPA Project: Measurement Strategy

Project Time Period 

Fall 2017 through Spring 2019 

Project Aims & Measurement 

The specific aim of the project is to improve the value of hospital care for children with asthma, specifically including the following aims: 

Utilization Measures 

• Decrease overall usage of chest radiography to 15% (ED setting)
• Decrease the inpatient length of hospital stay by 10% (Inpatient setting)
• Increase the early transition to administering bronchodilator via metered-dose inhaler by 40% (Inpatient setting)
• Decrease prescription of antibiotics at discharge to 10% (Inpatient setting) 

Process Measures 

• Achieve 90% documented compliance with assessing severity of asthma exacerbation at ED triage (ED settings)
• Increase the proportion of eligible children who receive systemic corticosteroids within 60 minutes of ED arrival to 50% (ED setting)
• Achieve 90% compliance with screening for secondhand smoke exposure (Inpatient setting)
• Achieve 50% increase in the documentation of referral to smoking cessation resources for eligible patients and their care takers (Inpatient setting)