TI Grantee Update: Illinois

Grant Recipient:   Loyola University Medical School
Title: Pediatric Quality Improvement Modules: Head Trauma, Seizures, and Diabetic Ketoacidosis 
Project Period: October 1, 2007 to September 30, 2011
Project Team: Project team is led by Mark Cichon, DO, and includes Evelyn Lyons, RN, MPH, Kathy Janies, and Dan Leonard, MS
Background: Overall project goal: To demonstrate measurable improvements in emergency department (ED) management of children with mild head trauma, seizures, and diabetic ketoacidosis (DKA). These diagnoses were selected due to their high risk of mortality/morbidity.

The project team is partnering with more than 100 hospitals with EDs that have been designated by the state health department through a facility recognition program.
Project Progress:
2009-2010 A multidisciplinary pediatric DKA educational module is being finalized with an anticipated December 2010 posting date to the Illinois EMSC website. Research on evidence-based management of pediatric seizures is completed and conceptualization of the pediatric seizures educational module is in process.  The pediatric seizure quality improvement (QI) tool, survey, and educational module are under development.  A mobile application of the Pediatric Emergency Care Applied Research Network (PECARN) Mild Head Trauma Suggested CT Algorithm also is under development.
2008-2009 The mild traumatic head injury educational module is completed and posted to the Illinois EMSC website -www.luhs.org/emsc.  The module includes patient education resources in English, as well as in Spanish. The PECARN Mild Head Trauma Suggested CT Algorithm and the Centers for Disease Control and Prevention Heads Up concepts are integrated into the module.

All continuing education modules are approved for nursing contact hours.  A mobile application is being explored for the PECARN CT Algorithm.

Participating hospitals collect and submit DKA survey and medical record data.  In follow-up, hospitals receive individual QI reports that support benchmarking.
2007-2008 Development of a statewide web-based data platform is completed, facilitating the collection of ED data on defined patient populations.  Data on mild head trauma patients is collected by hospitals.  In follow-up, benchmarking reports are provided to hospitals, facilitating comparison of care management regionally and statewide.
Dissemination and Sustainability: All educational modules undergo a regular review to ensure integration of evidence-based management.  Abstracts/manuscripts related to the project topics are under development.

Presentations: Project staff share information via multiple statewide EMS, quality, and trauma forums, meetings, and professional newsletters.