PEACH Projects
Here are the projects currently under way ...
Rooming in ("block of care") in cardiology
Project Lead: Karen Wilson
Unit: Mott - Nursing (Cardiology)
Intake Date: 1/31/23
Question(s): Do caregivers of pediatric patients (one and under) in cardiology receive the same rooming in requirements across racial and socioeconomic backgrounds?
Bereaving family interventions ("Legacy Interventions")
Project Leads: Maleea Roy and Meredith Irvine
Unit: Mott – Child Life
Date of Intake: 2/1/23
Question(s): Are Legacy Interventions provided universally to all bereaving families of pediatric patients?
Restraints & seclusion in the psychiatric unit
Project Lead: Katie Kruse
Unit: Psychiatry
Date of Intake: 2/13/23
Question(s): Does use of restraints and seclusion vary for pediatric patients by race, socioeconomic status, weight status, primary language spoken, and gender in:
a 3-bed psychiatric unit for patients with neurodevelopmental disorders?
the pediatric psychiatric ward more generally?
Responses to housing and food insecurity in primary care
Project Lead: Jennifer Erb-Downward
Unit: Poverty Solutions
Date of Intake: 2/15/23
Question(s): Do children and adolescents whose caregivers report a concern about housing or food insecurity receive appropriate referrals to services within the primary care setting?
Delay in referral for idiopathic scoliosis and clinic no-show rates
Project Lead: Ying Li
Unit: Orthopaedic Surgery
Date of Intake: 2/18/23
Question(s): For pediatric patients with scoliosis, do social factors such as race, ethnicity, and class impact the magnitude of the curve at the time of presentation to orthopaedics? Do no-shows and repeat cancelations vary by these social factors? What role does the health care system play in these outcomes?
Vision screenings across clinics
Project Lead: Olivia Killeen
Unit: Ophthalmology
Date of Intake: 2/20.23
Question(s): Are there differences in the rates of vision screenings across clinics for pediatric patients (3-5)? Do these differences contribute to racial and socioeconomic inequities in vision screenings?
Portal utilization and asthma care outcomes
Project Lead: Toby Lewis
Unit: Peds - Pulmonology
Date of Intake: 2/21/23
Question(s): Do patients who do not use the patient portal receive the same recommended protocols around asthma care as patients who do use the patient portal? Do patients without portal access have fewer interactions with healthcare system and worse outcomes?
Variation in care around Inflammatory Bowel Disease (IBD)
Project Lead: Jeremy Adler
Unit: Peds - Gastroenterology
Date of Intake: 2/21/23
Question(s): Are there inequities in any of the following stages around care for patients with possible IBD:
• referral to gastroenterology appointments?
• time from gastroenterology appointments to evaluation (endoscopy) and imaging (MRI) procedures?
• treatment through the gastroenterology clinic?
Variation in care around growth faltering (failure to thrive)
Project Leads: Katherine Salada and Jodi Ehrmann
Unit: Peds - Hospitalist
Date of Intake: 2/21/23
Question(s): Do children admitted to the general pediatric hospitalist service for growth faltering (previously known as "failure to thrive") vary by race/ethnicity, socioeconomic status, and primary language spoken in terms of: the threshold for admission, length of stay, social consultations received (e.g., social work and Children's Protective Services), and the threshold for discharge?
Language barriers that impact patient care and experience
Project Lead: Sarah Dabaja
Unit: Mott - 11W
Date of Intake: 3/16/23
Question(s): Does ad hoc reliance on staff and family produce inequities in care for pediatric patients and their families whose primary language is not English?
Spinal v. general anesthesia (infant circumcision)
Project Lead: Anne Baetzel
Unit: Anesthesiology
Date of Intake: 3/27/23
Question(s): Are there racial and socioeconomic differences among infants undergoing delayed circumcision (4-35 months) in terms of whether they receive awake spinal anesthesia or general anesthesia?
Cancelations within 24 hours for elective surgeries
Project Lead: Josh Pigula
Unit: Mott - CW Periop MPLAN team
Date of Intake: 3/29/23
Question(s): Do cancelations of elective surgeries within 24 hours vary by racial and socioeconomic factors? Does the healthcare system play a role in these outcomes (e.g., in terms of pre-operative communication)?
Pain management & scoliosis
Project Lead: Rebecca Hong
Unit: Anesthesiology
Date of Intake: 4/17/23
Question(s): Is there a difference in pain management between neuromuscular and idiopathic pediatric patients? Within the neuromuscular group, is there a difference if the patient is verbal versus nonverbal?
Sexually Transmitted Infection testing among pediatric patients with and without disabilities
Project Lead: Monica Rosen
Unit: OB-GYN
Date of Intake: 6/7/23
Question(s): Do providers conducted sexually transmitted infection (STI) testing equally among adolescents with and without disabilities?
Restraints in Emergency Services
Project Leads: Breeanna Lorenzen and Prashant Mahajan
Unit: Emergency Medicine
Date of Intake: 6/8/23
Question(s): Does use of restraints vary for pediatric patients by race, socioeconomic status, weight status, primary language spoken, and gender in Pediatric Emergency Services, Pediatric Psychiatric Emergency Services, and Adult Emergency Services?
Screening for iron deficiency with and without anemia
Project Lead: Angela Weyand
Unit: Peds - Hematology Oncology
Date of Intake: 6/8/23
Question(s): Are adolescents equitably screened for iron deficiency with and without anemia?
Drug testing in Emergency Services
Project Leads: Kimberly Slonaker and Anna McEvoy
Unit: Pediatrics
Date of Intake: 6/22/23
Question(s): Are there inequities in drug testing practices in Emergency Services for pediatric patients?
Referrals for fertility preservation consultation
Project Leads: Erin Isaacson and Monica Rosen
Unit: OB-GYN
Date of Intake: 7/5/23
Question(s): Are there inequities in who is referred for fertility preservation consultation among patients who receive medication that causes ovarian toxicity?
Diagnostic laparoscopy for dysmenorrhea
Project Leads: Katie O'Brien and Monica Rosen
Unit: OB-GYN
Date of Intake: 7/21/23
Question(s): Is there inequity in what adolescents are offered and who receives a diagnostic laparoscopy for dysmenorrhea based on race, ethnicity, socioeconomic status, and language preference?
Variation in cancer care
Project Leads: Keyonna Williams and Peter Ehrlich
Unit: Pediatric Surgery
Date of Intake: 8/2/23
Question(s): Are there differences in care provided to pediatric cancer patients relative to English proficiency, SES, and other social factors?
Variation in blunt trauma care
Project Leads: Keyonna Williams and Peter Ehrlich
Unit: Pediatric Surgery
Date of Intake: 8/2/23
Question(s): Are there differences in care provided to pediatric blunt trauma patients relative to English proficiency, SES, and other social factors?