|By PR Newswire||
|November 12, 2012 12:01 AM EST||
CHOP is using this study data to create a new model of care for pediatric concussion
PHILADELPHIA, Nov. 12, 2012 /PRNewswire-USNewswire/ -- While general pediatricians and pediatric emergency physicians value their role in concussion management, a study of their self-reported knowledge, practices and attitudes points to the need for improved concussion-specific training and infrastructure to support optimal patient care. The study, released today in the journal Pediatrics, served as a catalyst for The Children's Hospital of Philadelphia (CHOP) to create a new "medical home" model for managing pediatric and adolescent concussion.
The study surveyed 145 emergency medicine and primary care providers, among whom 91 percent had cared for at least one concussion patient and 92 percent had referred at least one patient to a concussion specialist in the prior three months. Authors noted variability in how respondents recognized signs, symptoms and physical exam findings for concussion. They recommend specialized, continuing medical education training for primary care and emergency medicine clinicians, coupled with standardized clinical decision support tools and patient education tools.
"We have seen concussion visits within our emergency department, primary care and specialty care network at CHOP quadruple since 2009 to a current total of more than 6,700 each year," says Mark Zonfrillo, M.D., M.S.C.E., the study's lead author, a researcher at CHOP's Center for Injury Research and Prevention and a pediatric emergency medicine specialist. "The emergency department and primary care settings often serve as the entry point of care for children with a suspected concussion, and we know that early diagnosis and treatment of concussion can lead to faster, more complete recovery."
"With the increased occurrence and recognition of concussions, it can be challenging to schedule a follow-up appointment with a concussion specialist immediately following injury. However, families can usually see a CHOP primary care provider within the first few days after sustaining a concussion at one of more than 30 locations, so they can promptly begin treatment and monitor recovery," notes Zonfrillo.
Zonfrillo and his colleagues believe the primary care setting is the most appropriate place for management and follow-up for most pediatric concussion cases. The best practice for managing a diagnosed concussion in the initial weeks following the injury involves two essential components: using a systematic, clinical assessment to determine if concussion symptoms are resolving, and adhering to a step-by-step program of gradual return-to-learn and return-to-play. However, the study found inconsistent clinical assessment and inconsistent prescribing of the "return" protocols in discharge instructions. Pediatric primary care and emergency medicine providers agreed that standardized evaluation and decision-making tools, and training in their use, would increase their comfort with diagnosing and managing concussions.
With this valuable input from primary care and emergency medicine providers, concussion specialists at CHOP developed an infrastructure, including necessary diagnostic and patient education support tools, that is now delivered network-wide through CHOP's electronic medical record system.
"We adapted state-of-the-science protocols used by concussion specialists into an electronic interactive form that is part of the patient's medical record," says Zonfrillo. "This form, which is specific to concussion, provides a guide for the primary care provider for the systematic evaluation of concussion patients, including potential symptoms and physical exam findings."
The provider can print out fact sheets that walk the parents through the return-to-learn and return- to-play process, as well as a letter intended for the child's school explaining the diagnosis and treatment. The interactive form indicates when a patient should be referred to a specialist if, for example, they have certain pre-existing conditions or for persistent symptoms.
Earlier this year, CHOP's concussion experts provided special training to more than 100 providers, representing all 30 primary care locations in the CHOP Care Network. The CHOP Network is the largest pediatric health system in the country and its new Medical Home model for concussion management could eventually be applied in other health systems. Zonfrillo and his colleagues are closely monitoring and adjusting the new model in hopes that it can improve outcomes for children in the greater Philadelphia region, as well as the hundreds of thousands of children who suffer concussions each year across the U.S. Visit www.chop.edu/concussion for information about youth concussions, as well as CHOP's unique approach to managing pediatric concussion.
Zonfrillo's co-authors are CHOP colleagues Christina Master, M.D., Matthew Grady, M.D., Flaura Winston, M.D., Ph.D., James Callahan, M.D., and Kristy Arbogast, Ph.D. The study was funded by the Chair's Initiatives at CHOP.
"General pediatric and emergency medicine providers' self-reported knowledge, practices, and attitudes about concussion," Pediatrics, published online Nov. 12, 2012. doi:10.1542/peds.2012.1431
About The Children's Hospital of Philadelphia:
The Children's Hospital of Philadelphia was founded in 1855 as the nation's first pediatric hospital. Through its long-standing commitment to providing exceptional patient care, training new generations of pediatric healthcare professionals and pioneering major research initiatives, Children's Hospital has fostered many discoveries that have benefited children worldwide. Its pediatric research program is among the largest in the country, ranking third in National Institutes of Health funding. In addition, its unique family-centered care and public service programs have brought the 516-bed hospital recognition as a leading advocate for children and adolescents. For more information, visit http://www.chop.edu.
Contact: Alison Fraser
The Children's Hospital of Philadelphia
SOURCE The Children's Hospital of Philadelphia
DevOps is often described as a combination of technology and culture. Without both, DevOps isn't complete. However, applying the culture to outdated technology is a recipe for disaster; as response times grow and connections between teams are delayed by technology, the culture will die. A Nutanix Enterprise Cloud has many benefits that provide the needed base for a true DevOps paradigm.
Mar. 23, 2017 06:00 PM EDT Reads: 1,203
My team embarked on building a data lake for our sales and marketing data to better understand customer journeys. This required building a hybrid data pipeline to connect our cloud CRM with the new Hadoop Data Lake. One challenge is that IT was not in a position to provide support until we proved value and marketing did not have the experience, so we embarked on the journey ourselves within the product marketing team for our line of business within Progress. In his session at @BigDataExpo, Sum...
Mar. 23, 2017 04:15 PM EDT Reads: 2,385
SYS-CON Events announced today that Loom Systems will exhibit at SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. Founded in 2015, Loom Systems delivers an advanced AI solution to predict and prevent problems in the digital business. Loom stands alone in the industry as an AI analysis platform requiring no prior math knowledge from operators, leveraging the existing staff to succeed in the digital era. With offices in S...
Mar. 23, 2017 03:45 PM EDT Reads: 539
The taxi industry never saw Uber coming. Startups are a threat to incumbents like never before, and a major enabler for startups is that they are instantly “cloud ready.” If innovation moves at the pace of IT, then your company is in trouble. Why? Because your data center will not keep up with frenetic pace AWS, Microsoft and Google are rolling out new capabilities In his session at 20th Cloud Expo, Don Browning, VP of Cloud Architecture at Turner, will posit that disruption is inevitable for c...
Mar. 23, 2017 03:45 PM EDT Reads: 1,695
SYS-CON Events announced today that Telecom Reseller has been named “Media Sponsor” of SYS-CON's 20th International Cloud Expo, which will take place on June 6–8, 2017, at the Javits Center in New York City, NY. Telecom Reseller reports on Unified Communications, UCaaS, BPaaS for enterprise and SMBs. They report extensively on both customer premises based solutions such as IP-PBX as well as cloud based and hosted platforms.
Mar. 23, 2017 03:30 PM EDT Reads: 1,648
SYS-CON Events announced today that Ocean9will exhibit at SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. Ocean9 provides cloud services for Backup, Disaster Recovery (DRaaS) and instant Innovation, and redefines enterprise infrastructure with its cloud native subscription offerings for mission critical SAP workloads.
Mar. 23, 2017 03:30 PM EDT Reads: 1,533
Providing the needed data for application development and testing is a huge headache for most organizations. The problems are often the same across companies - speed, quality, cost, and control. Provisioning data can take days or weeks, every time a refresh is required. Using dummy data leads to quality problems. Creating physical copies of large data sets and sending them to distributed teams of developers eats up expensive storage and bandwidth resources. And, all of these copies proliferating...
Mar. 23, 2017 03:00 PM EDT Reads: 6,151
DevOps is often described as a combination of technology and culture. Without both, DevOps isn't complete. However, applying the culture to outdated technology is a recipe for disaster; as response times grow and connections between teams are delayed by technology, the culture will die. A Nutanix Enterprise Cloud has many benefits that provide the needed base for a true DevOps paradigm. In his Day 3 Keynote at 20th Cloud Expo, Chris Brown, a Solutions Marketing Manager at Nutanix, will explore t...
Mar. 23, 2017 02:30 PM EDT Reads: 2,319
In recent years, containers have taken the world by storm. Companies of all sizes and industries have realized the massive benefits of containers, such as unprecedented mobility, higher hardware utilization, and increased flexibility and agility; however, many containers today are non-persistent. Containers without persistence miss out on many benefits, and in many cases simply pass the responsibility of persistence onto other infrastructure, adding additional complexity.
Mar. 23, 2017 02:30 PM EDT Reads: 4,024
SYS-CON Events announced today that Cloudistics, an on-premises cloud computing company, has been named “Bronze Sponsor” of SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. Cloudistics delivers a complete public cloud experience with composable on-premises infrastructures to medium and large enterprises. Its software-defined technology natively converges network, storage, compute, virtualization, and management into a ...
Mar. 23, 2017 02:30 PM EDT Reads: 1,389
SYS-CON Events announced today that CA Technologies has been named “Platinum Sponsor” of SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY, and the 21st International Cloud Expo®, which will take place October 31-November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. CA Technologies helps customers succeed in a future where every business – from apparel to energy – is being rewritten by software. From ...
Mar. 23, 2017 02:15 PM EDT Reads: 1,126
Pentaho has announced orchestration capabilities that streamline the entire machine learning workflow and enable teams of data scientists, engineers and analysts to train, tune, test and deploy predictive models. Pentaho’s Data Integration and analytics platform ends the ‘gridlock’ associated with machine learning by enabling smooth team collaboration, maximizing limited data science resources and putting predictive models to work on big data faster – regardless of use case, industry, or languag...
Mar. 23, 2017 01:00 PM EDT Reads: 2,067
SYS-CON Events announced today that T-Mobile will exhibit at SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. As America's Un-carrier, T-Mobile US, Inc., is redefining the way consumers and businesses buy wireless services through leading product and service innovation. The Company's advanced nationwide 4G LTE network delivers outstanding wireless experiences to 67.4 million customers who are unwilling to compromise on ...
Mar. 23, 2017 12:45 PM EDT Reads: 1,627
SYS-CON Events announced today that SoftLayer, an IBM Company, has been named “Gold Sponsor” of SYS-CON's 18th Cloud Expo, which will take place on June 7-9, 2016, at the Javits Center in New York, New York. SoftLayer, an IBM Company, provides cloud infrastructure as a service from a growing number of data centers and network points of presence around the world. SoftLayer’s customers range from Web startups to global enterprises.
Mar. 23, 2017 12:30 PM EDT Reads: 1,004
SYS-CON Events announced today that Addteq will exhibit at SYS-CON's DevOps Summit at Cloud Expo, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. Addteq specializes in creating innovative solutions to solve business processes through the use of DevOps automation. Addteq was founded on the firm belief that automation is essential for successful software releases. Addteq's products and services are centered around the fundamental approach of understanding the pr...
Mar. 23, 2017 12:30 PM EDT Reads: 2,691