2020 Outcomes Report Portland Shriners Hospital

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PROMISing Outcomes Quality Ample evidence affirms that patients who are more involved in their medical care experience better outcomes and choose less costly, yet effective, interventions. In December of 2017, the Portland Shriners Hospital implemented PROMIS, a pediatric non-disease specific health-related quality of life patient-reported outcome tool developed by the National Institutes of Health in the outpatient clinic. PROMIS stands for Patient-Reported Outcomes Measurement Information System. Since that time, over 4,200 pediatric patients have been administered the PROMIS assessment at the Portland Shriners Hospital. 4,200 pediatric patients have been administered the PROMIS assessment at the Portland Shriners Hospital. Psychosocial health To improve the outcomes of quality, care, and value we bring to our patients, the use of PROMIS has identified several opportunities for improvement. First, PROMIS highlighted 16% of patients aged 8 -17 years reported fair to poor in the category of psychosocial health. In addition, mental health has been a top need in our Community Health Needs Assessment (CHNA) for the past two surveys (spanning a course of 6 years) which validated the need to expand our services to address the psychosocial needs of our patients. With these findings, we added a child psychologist to the team in 2020. Care expansion to include child psychology has been an invaluable addition to our medical staff team. Pediatric obesity Current data confirms that nearly 1 in 5 young people aged 6-19 in the United States has obesity. Currently, about 16% of our patient population are obese and 20% are overweight, which closely aligns with prevalence rates of obesity in the United States. Furthermore, patient-reported PROMIS data identified reduced outcomes quality in patients that were overweight or obese who received both surgical and non-surgical treatment. In response to this data, our second quality improvement initiative targets pediatric obesity and comorbidities associated with obesity, such as type 2 diabetes. The initiative’s goal is to reduce readmission rates over time and improve outcomes quality in both surgical and conservative treatments among our overweight and obese pediatric population.

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2020 Annual Outcomes Report