The Culture of Different MKTG_150064494_2018 Service Line Big Book Full_FIN | Page 34

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The Culture of Different
GAS T RO E N T E RO LO GY A N D G I S U RG E RY
F E C A L M I C R O B I O TA
T R A N S P L A N TAT I O N
(FMT) PROGRAM
Since pioneering an
innovative, nurse-driven
program that reduces costs,
time and risk while improving
outcomes for patients with
recurrent c. difficile infection,
the FMT Program at Children’s
Colorado has become a national
model for patient care and c.
difficile treatment.
Expanding the Scope
of Adverse Events
Pediatric gastroenterologist Robert Kramer, MD, isn’t satisfied with
the definition of “adverse event.”
“The traditional view is that it’s a defined negative outcome —
bleeding, perforation, infection — and if we didn’t have one of
those events, we did okay” he says. “That lulls us into a false sense
of security.”
1st
Endoscopy itself minimizes medical risk by replacing more invasive
procedures, and Dr. Kramer has been a national leader in pushing
endoscopy to do more. But any procedure comes with risk. Dr. Kramer
wanted to know exactly what those risks were.
In the nation to use a nurse-
driven, nasogastric delivery
model in pediatrics
80%
Back in 2010, Dr. Kramer started a database to track and sort every
endoscopy performed at Children’s Hospital Colorado: whether the
procedures worked as intended, along with any associated morbidity
and cost. He defined these events, classified them, figured out
why they happened and how to avoid them. Seven years later, it’s
the largest-ever single-center, published series on the safety of GI
endoscopy in children.
Less expensive on
average than traditional
FMT methods
67
As the chair of the endoscopy committee within the North American
Society for Pediatric Gastroenterology, Hepatology and Nutrition, he
and his group recently expanded upon that work to publish definitive
endoscopy quality metrics for institutions nationwide.
“I see myself operating at the intersection
of quality and intervention,” says pediatric
endoscopy expert Robert Kramer, MD.
“Avoiding the procedures we don’t need
improves safety for everyone.”
Unique patients treated
for recurrent c. difficile
since program inception
“We’re working to improve every aspect of the endoscopy experience
for kids,” says Dr. Kramer. “That means not only ensuring these
procedures are as safe as possible, but also making certain that we
perform them only when absolutely indicated and most likely to
make a positive impact on their care.”
83%
Treatment success in
all patients
“Children live to play,” says pediatric hepatologist
Shikha Sundaram, MD. “And because they love to
play, their entire focus is getting back to that.”
ZERO
Anesthesia required for
the procedure
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