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: 


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?