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Optimization of care for the pediatric surgical patient: Why now?

Marjorie J Arca1, Adam B Goldin2, Keith T Oldham1

  • 1Division of Pediatric Surgery, Medical College of Wisconsin, Milwaukee, WI; Children׳s Hospital of Wisconsin, Milwaukee, WI.

Seminars in Pediatric Surgery
|December 15, 2015
PubMed

Insights

The American College of Surgeons (ACS) created Children's Surgical Centers in 2015 to verify optimal resources for pediatric surgical care. This initiative identifies and matches institutional resources to the needs of infants and children requiring surgery.

Area of Science:

  • Pediatric Surgery
  • Surgical Quality Improvement
  • Healthcare Administration

Background:

  • Optimal resource standards are crucial for pediatric surgical care.
  • The American College of Surgeons (ACS) recognized a need for specialized pediatric surgical centers.
  • Existing trauma verification systems provided a model for a similar pediatric initiative.

Purpose of the Study:

  • To review the history and rationale behind the ACS Children's Surgical Center verification program.
  • To outline the supporting data and processes involved in establishing these centers.
  • To highlight the importance of identifying and verifying pediatric-specific surgical resources.

Main Methods:

  • Review of historical data and consensus-based optimal resource standards.
  • Adaptation of the ACS Trauma Program's stratification system for pediatric surgery.
  • Development of a verification process for hospitals and ambulatory centers.

Main Results:

  • The ACS initiated the Children's Surgical Center verification program in 2015.
  • The program aims to identify institutions with optimal resources for pediatric surgical patients.
  • A stratification system is used to match resources with patient needs.

Conclusions:

  • The Children's Surgical Center initiative standardizes and improves pediatric surgical care.
  • Verification ensures institutions meet consensus-based optimal resource standards.
  • This program addresses the unique surgical needs of infants and children.

Keywords:
ChildrenInfantOptimizationOutcomesRegionalizationSurgery

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