""Most hospitals don't see enough kids to reliably measure their performance with kids. When most kids go to a community hospital and can't be discharged, they get transferred to a larger hospital. So in those cases, there's no single hospital that owns the outcome," Michelson said. "We think that regions really need to work together to improve pediatric patient outcomes.""
""In the study, investigators analyzed more than 27 million emergency and inpatient encounters from January 2021 to December 2022 involving children under 16 years old, representing nearly half of all American children, using data drawn from 4,830 hospitals nationwide. Utilizing a network analysis, the team defined two types of regions: Pediatric Emergency Service Areas (PESAs): Representing where children go from home to hospital. Pediatric Emergency Referral Regions (PERRs): Mapping how hospitals refer pediatric patients to one another.""
A pediatric-specific atlas of acute care regions across the United States defines 835 Pediatric Emergency Service Areas (PESAs) and 105 Pediatric Emergency Referral Regions (PERRs). More than 27 million emergency and inpatient encounters from January 2021 to December 2022 for children under 16, representing nearly half of U.S. children and drawn from 4,830 hospitals, informed the mapping. PESAs represent where children go from home to hospital; PERRs map hospital-to-hospital pediatric referrals. The atlas reveals pediatric care patterns that diverge from adult-based geographic frameworks, highlights high regionalization of pediatric acute care, and underscores the need for cross-hospital collaboration to improve pediatric outcomes.
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