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Pediatric Respiratory Illness Measurement System (PRIMES) Implementation in Community Hospital Settings

Award Number: R01HL121067
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/20/2021
PERIOD OF PERFORMANCE END DATE: 06/30/2026

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Pediatric Respiratory Illness Measurement System (PRIMES) Implementation in Community Hospital Settings - Acute respiratory illness is a major cause of hospitalizations in the pediatric population with over 75% of admissions occurring in community–based (non-children's) hospitals. Focusing inpatient quality improvement (QI) efforts on these conditions is likely to have a significant impact on outcomes. The Pediatric Respiratory Illness Measurement System-Short Version (PRIMES-SV) tool is an abbreviated version of the previously developed and validated PRIMES quality assessment tool. Using medical records data, PRIMES-SV generates quality scores for both asthma and bronchiolitis, two of the most common conditions diagnosed in children admitted to community hospitals. The overall goals of this study are to demonstrate the sensitivity of PRIMES-SV measures to quality improvement (QI) interventions in community hospital settings, and to better understand the contextual and provider-level factors associated with both the ability to improve performance and to sustain those improvements. The specific aims of the study are: Aim 1. To implement the PRIMES-SV tool in six geographically diverse community hospitals to a) examine the degree of variation in performance across the hospitals and b) identify implementation barriers to high performance using the Consolidated Framework for Implementation Research (CFIR); Aim 2.To a) conduct a QI collaborative and improve overall performance on a sub-set of PRIMES-SV measures among the six hospitals by targeting CFIR-linked barriers with aligned strategies, and b) assess whether improved performance is associated with decreased LOS and costs; and Aim 3. To a) assess whether observed performance improvements are sustained on the targeted PRIMES-SV measures and b) determine which CFIR factors are linked with sustainment. These aims will be accomplished by bringing together a diverse group of experts in the fields of QI evaluation research, implementation science, and pediatric community-based hospital medicine. If using the proposed approach to QI is successful and improvements are sustained, the PRIMES-SV quality assessment tool used in combination with CFIR barrier-strategy matching could be widely disseminated to both community and children's hospitals to facilitate quality improvement for these common and high cost pediatric conditions.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Lung Diseases Research	000	8	1/24/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $661,456 )
2024	2024	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Lung Diseases Research	000	8	8/8/2024	NON-COMPETING CONTINUATION	$661,456
														Subtotal = $661,456

Issue Date FY: 2023 ( Subtotal = $664,930 )
2023	2023	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Lung Diseases Research	000	7	9/6/2023	NON-COMPETING CONTINUATION	$664,930
														Subtotal = $664,930

Issue Date FY: 2022 ( Subtotal = $711,926 )
2022	2022	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Lung Diseases Research	001	6	8/23/2022	NON-COMPETING CONTINUATION	$711,926
2022	2021	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Lung Diseases Research	000	5	8/22/2022	COMPETING CONTINUATION	$0
														Subtotal = $711,926

Issue Date FY: 2021 ( Subtotal = $856,262 )
2021	2021	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Lung Diseases Research	000	5	9/20/2021	COMPETING CONTINUATION	$856,262
														Subtotal = $856,262

Issue Date FY: 2019 ( Subtotal = -$81,163 )
2019	2017	SEATTLE CHILDREN'S HOSPITAL	4800 SAND POINT WAY NE	SEATTLE	WA	98105	KING	USA	Lung Diseases Research	000	4	6/27/2019	NON-COMPETING CONTINUATION	-$81,163
														Subtotal = -$81,163

Issue Date FY: 2017 ( Subtotal = $666,017 )
2017	2017	SEATTLE CHILDREN'S HOSPITAL	4800 SAND POINT WAY NE	SEATTLE	WA	98105	KING	USA	Lung Diseases Research	000	4	2/24/2017	NON-COMPETING CONTINUATION	$666,017
														Subtotal = $666,017

Issue Date FY: 2016 ( Subtotal = $706,136 )
2016	2016	SEATTLE CHILDREN`S HOSPITAL	4800 SAND POINT WAY NORTHEAST	SEATTLE	WA	98105	KING	USA	Lung Diseases Research	000	3	2/17/2016	NON-COMPETING CONTINUATION	$706,136
														Subtotal = $706,136

Issue Date FY: 2015 ( Subtotal = $695,551 )
2015	2015	SEATTLE CHILDREN`S HOSPITAL	4800 SAND POINT WAY NORTHEAST	SEATTLE	WA	98105	KING	USA	Lung Diseases Research	000	2	2/16/2015	NON-COMPETING CONTINUATION	$695,551
														Subtotal = $695,551

Issue Date FY: 2014 ( Subtotal = $794,486 )
2014	2014	SEATTLE CHILDREN`S HOSPITAL	4800 SAND POINT WAY NORTHEAST	SEATTLE	WA	98105	KING	USA	Lung Diseases Research	000	1	3/14/2014	NEW	$794,486
														Subtotal = $794,486

Grand Total All Awards = $5,675,601

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Pediatric Respiratory Illness Measurement System (PRIMES) Implementation in Community Hospital Settings

Award Number: R01HL121067

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/20/2021

PERIOD OF PERFORMANCE END DATE: 06/30/2026

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